Individual provider · Type 1 NPI

Juanita Wilkerson

Developmental Therapist · Pompano Beach, FL

NPI number 1972842672 Active

Practice location

4301 N Federal Hwy, Suite 2 South
Pompano Beach, FL 33064-6519

Call (888) 880-9270 Map

Fax (954) 342-0273

Mailing address

310 Piez Ave
Newport News, VA 23601-4020

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XT60-20-4979 (VA)

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 1972842672

Juanita Wilkerson's National Provider Identifier is 1972842672, issued on Jan 31, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Jan 31, 2013.