Individual provider · Type 1 NPI
Jamie Lynn Wiatrak
Developmental Therapist · Bolingbrook, IL
Practice location
2166 Muirfield Trl
Bolingbrook, IL 60490-4911
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…
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About NPI 1639676687
Jamie Lynn Wiatrak's National Provider Identifier is 1639676687, issued on Apr 6, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Apr 6, 2018.