Individual provider · Type 1 NPI
Gwen Elizabeth Medrano
Developmental Therapist · Alsip, IL
Practice location
12211 S 44th Pl
Alsip, IL 60803-2402
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…
Other developmental therapist providers in Alsip
About NPI 1205357902
Gwen Elizabeth Medrano's National Provider Identifier is 1205357902, issued on Jul 3, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Alsip, IL. The record was last updated on Jul 3, 2017.