Individual provider · Type 1 NPI
Paula Jo Rush Shumpert, DT
Developmental Therapist · Swansea, IL
Practice location
2661 N Illinois St Ste 126
Swansea, IL 62226-2302
Mailing address
1442 Schwarz Meadow Dr
O Fallon, IL 62269-6709
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…
Another provider at this address
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About NPI 1598977993
Paula Jo Rush Shumpert, DT's National Provider Identifier is 1598977993, issued on May 6, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Swansea, IL. The record was last updated on Jul 8, 2007.