Individual provider · Type 1 NPI
Mildred Louise Pate, DT
Developmental Therapist · Mc Leansboro, IL
Practice location
RR 4 Box 222
Mc Leansboro, IL 62859-9461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | MP14130298P (IL) |
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 1245415009
Mildred Louise Pate, DT's National Provider Identifier is 1245415009, issued on Dec 29, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mc Leansboro, IL. The record was last updated on Dec 29, 2007.