Virginia Rose Colletti

NPI #1275782054 in Springfield, Illinois

Provider Information

NPI Number: 1275782054
Entity Type: Individual
Name: Virginia Rose Colletti
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 2616 BENNINGTON DR
City: Springfield
State: Illinois
ZIP Code: 62704-4223
Phone: (217) 685-1445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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