Individual provider · Type 1 NPI

Diane Elizabeth Tullos

Developmental Therapist · Coconut Creek, FL

NPI number 1124306758 Active

Practice location

3759 Carambola Cir N
Coconut Creek, FL 33066-2443

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XSW6624 (FL)

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 1124306758

Diane Elizabeth Tullos's National Provider Identifier is 1124306758, issued on Aug 1, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Coconut Creek, FL. The record was last updated on Aug 1, 2011.