Individual provider · Type 1 NPI
Alysha Koller
Developmental Therapist · Oak Lawn, IL
Practice location
5420 W 88th St
Oak Lawn, IL 60453-1255
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 1386534857
Alysha Koller's National Provider Identifier is 1386534857, issued on Jul 7, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 7, 2025.