Individual provider · Type 1 NPI

Lora Gardiner

Developmental Therapist · North Riverside, IL

NPI number 1972907830 Active

Practice location

7626 W 25th St
North Riverside, IL 60546-1416

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 1972907830

Lora Gardiner's National Provider Identifier is 1972907830, issued on Oct 21, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in North Riverside, IL. The record was last updated on Oct 21, 2014.