Individual provider · Type 1 NPI

Letitia Davis, DT

Developmental Therapist · Broadview, IL

NPI number 1548486186 Active

Practice location

1030 W 18th St
Broadview, IL 60155-5820

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XLD66460301P (IL)

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 1548486186

Letitia Davis, DT's National Provider Identifier is 1548486186, issued on Apr 18, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Broadview, IL. The record was last updated on Jul 8, 2007.