Individual provider · Type 1 NPI
Tracy Wilks
Developmental Therapist · St. Charles, IL
Practice location
1021 S 12th Ave
St. Charles, IL 60174-4415
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…
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About NPI 1912405366
Tracy Wilks's National Provider Identifier is 1912405366, issued on Jan 30, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Charles, IL. The record was last updated on Jan 30, 2018.