Individual provider · Type 1 NPI

Joanna Rae Malmquist

Developmental Therapist · East Peoria, IL

NPI number 1457798746 Active

Practice location

112 Heatherview Dr
East Peoria, IL 61611-4889

Call (309) 360-0707 Map

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 1457798746

Joanna Rae Malmquist's National Provider Identifier is 1457798746, issued on May 28, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in East Peoria, IL. The record was last updated on May 28, 2013.