Angela Persico, DT

NPI #1093286742 in Montgomery, Illinois

Provider Information

NPI Number: 1093286742
Entity Type: Individual
Name: Angela Persico, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: DT
Enumeration Date: Dec 6, 2018
Last Updated: Dec 6, 2018

Practice Location

Address: 2293 JASON DR
City: Montgomery
State: Illinois
ZIP Code: 60538-5024
Phone: (630) 801-9965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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