Individual provider · Type 1 NPI
Jordan Stroud
Developmental Therapist · Manteno, IL
Practice location
168 W Fifth St
Manteno, IL 60950-1158
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 1366890261
Jordan Stroud's National Provider Identifier is 1366890261, issued on Jun 1, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Manteno, IL. The record was last updated on Jun 1, 2016.