Individual provider · Type 1 NPI
James Michael Peterson
Developmental Therapist · Rockford, IL
Practice location
405 Welty Ave
Rockford, IL 61107-4562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| 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 1619784493
James Michael Peterson's National Provider Identifier is 1619784493, issued on Dec 16, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rockford, IL. The record was last updated on Dec 16, 2024.