Individual provider · Type 1 NPI

Sandra Jean Fark

Developmental Therapist · Murphysboro, IL

NPI number 1487879409 Active

Practice location

1 Scenic View Ln
Murphysboro, IL 62966-4755

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 1487879409

Sandra Jean Fark's National Provider Identifier is 1487879409, issued on Apr 16, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Murphysboro, IL. The record was last updated on Jul 8, 2007.