Individual provider · Type 1 NPI
Gwendolyn Angela Johnson, DT
Developmental Therapist · Warrenville, IL
Practice location
29W410 Forestview Dr
Warrenville, IL 60555
Fax (630) 791-9146
Mailing address
PO Box 431
Warrenville, IL 60555-0431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | GM11930903 (IL) |
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 1649482167
Gwendolyn Angela Johnson, DT's National Provider Identifier is 1649482167, issued on May 4, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Warrenville, IL. The record was last updated on Feb 26, 2008.