Individual provider · Type 1 NPI

Theresa Wicklund

Developmental Therapist · Florence, KY

NPI number 1376905943 Active

Practice location

4900 Houston Rd
Florence, KY 41042-4824

Call (859) 655-1195 Map

Fax (859) 655-1194

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 1376905943

Theresa Wicklund's National Provider Identifier is 1376905943, issued on Mar 23, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Florence, KY. The record was last updated on May 21, 2020.