Individual provider · Type 1 NPI

Mary Petre

Developmental Therapist · Champaign, IL

NPI number 1740409630 Active

Practice location

1304 W Bradley Ave
Champaign, IL 61821-2035

Call (217) 356-9176 Map

Fax (217) 356-9851

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 1740409630

Mary Petre's National Provider Identifier is 1740409630, issued on Apr 25, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.