Individual provider · Type 1 NPI

Jennie Marie Gura

Developmental Therapist · Minooka, IL

NPI number 1114286903 Active

Practice location

209 Massasoit St
Minooka, IL 60447-9149

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1114286903

Jennie Marie Gura's National Provider Identifier is 1114286903, issued on May 14, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Minooka, IL. The record was last updated on May 14, 2012.