Individual provider · Type 1 NPI

Samantha Lawrence, DT

Developmental Therapist · Chicago, IL

NPI number 1629274741 Active

Practice location

3712 N Broadway St, Ste 250
Chicago, IL 60613-4235

Mailing address

180 N Jefferson St Unit 2010
Chicago, IL 60661-1457

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 1629274741

Samantha Lawrence, DT's National Provider Identifier is 1629274741, issued on Jun 25, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.