Individual provider · Type 1 NPI
Donna Marie Hendricks-Manteca, DT
Developmental Therapist · Matteson, IL
Practice location
5633 Crestwood Rd
Matteson, IL 60443-1119
Fax (708) 720-2740
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 1386995959
Donna Marie Hendricks-Manteca, DT's National Provider Identifier is 1386995959, issued on Sep 24, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Matteson, IL. The record was last updated on Sep 24, 2012.