Individual provider · Type 1 NPI
Irene Di Minervino, DT
Developmental Therapist · Park Ridge, IL
Practice location
1208 Elm St
Park Ridge, IL 60068-3368
Fax (888) 491-5663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | IP25370711P (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 1790068443
Irene Di Minervino, DT's National Provider Identifier is 1790068443, issued on Sep 20, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Park Ridge, IL. The record was last updated on Apr 24, 2018.