Individual provider · Type 1 NPI

Paige Pontrelli

Developmental Therapist · La Grange, IL

NPI number 1467688432 Active

Practice location

508 S La Grange Rd
La Grange, IL 60525-6732

Fax (708) 354-0942

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 1467688432

Paige Pontrelli's National Provider Identifier is 1467688432, issued on Jun 4, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in La Grange, IL. The record was last updated on Jun 4, 2009.