Individual provider · Type 1 NPI
Kellie Konstantinidis, DT
Developmental Therapist · Bloomingdale, IL
Practice location
175 Raven Ln
Bloomingdale, IL 60108-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1073259743
Kellie Konstantinidis, DT's National Provider Identifier is 1073259743, issued on May 6, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bloomingdale, IL. The record was last updated on May 6, 2022.