Individual provider · Type 1 NPI
Angela Persico, DT
Developmental Therapist · Montgomery, IL
Practice location
2293 Jason Dr
Montgomery, IL 60538-5024
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 1093286742
Angela Persico, DT's National Provider Identifier is 1093286742, issued on Dec 6, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Montgomery, IL. The record was last updated on Dec 6, 2018.