Individual provider · Type 1 NPI

Tamaraka King-Audu, DEVELOPMENTAL THERAP

Developmental Therapist · South Holland, IL

NPI number 1669956439 Active

Practice location

16110 Woodlawn East Ave
South Holland, IL 60473-1852

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 1669956439

Tamaraka King-Audu, DEVELOPMENTAL THERAP's National Provider Identifier is 1669956439, issued on Sep 18, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in South Holland, IL. The record was last updated on Sep 18, 2018.