Individual provider · Type 1 NPI

Nicole Brockway Wise

Developmental Therapist · Jacksonville, FL

NPI number 1679754535 Active

Practice location

910 N Jefferson St
Jacksonville, FL 32209-6810

Call (904) 360-7022 Map

Fax (904) 798-4544

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…

136 other providers at this address

Other developmental therapist providers in Jacksonville

See all in Jacksonville →

About NPI 1679754535

Nicole Brockway Wise's National Provider Identifier is 1679754535, issued on Nov 20, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 20, 2007.