Individual provider · Type 1 NPI
Wylena Nell Thornton, M.A.D.T.
Developmental Therapist · Burham, IL
Practice location
14513 Bensley Ave
Burham, IL 60633-2205
Fax (708) 730-0710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
About NPI 1891703757
Wylena Nell Thornton, M.A.D.T.'s National Provider Identifier is 1891703757, issued on Aug 4, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Burham, IL. The record was last updated on Jul 8, 2007.