Individual provider · Type 1 NPI

Diane Elizabeth Fortunato

Developmental Therapist · Gardner, MA

NPI number 1407036916 Active

Practice location

31 Lake St
Gardner, MA 01440-3879

Fax (978) 632-6022

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 1407036916

Diane Elizabeth Fortunato's National Provider Identifier is 1407036916, issued on Nov 13, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Gardner, MA. The record was last updated on Nov 13, 2007.