Individual provider · Type 1 NPI

Kelly Bryan, DT

Developmental Therapist · Highland, IL

NPI number 1639917586 Active

Practice location

4501 Hill Rd
Highland, IL 62249-3519

Fax (618) 503-0263

Mailing address

2807 Starling Ln
Rolling Meadows, IL 60008-2638

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 1639917586

Kelly Bryan, DT's National Provider Identifier is 1639917586, issued on Jul 16, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Highland, IL. The record was last updated on Jul 16, 2024.