Individual provider · Type 1 NPI

Tara Wiley

Developmental Therapist · Pompano Beach, FL

NPI number 1861770943 Active

Practice location

2708 NE 14th St, Suite 5
Pompano Beach, FL 33062-3565

Mailing address

88C Shoreline Dr
Jacksonville, NC 28540-8135

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 1861770943

Tara Wiley's National Provider Identifier is 1861770943, issued on Jul 24, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Jul 24, 2011.