MS. Donna Marie Hendricks-Manteca, DT

NPI #1386995959 in Matteson, Illinois

Provider Information

NPI Number
1386995959
Entity Type
Individual
Name
MS. Donna Marie Hendricks-Manteca, DT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
DT
Enumeration Date
Sep 24, 2012
Last Updated
Sep 24, 2012

Practice Location

Address
5633 CRESTWOOD RD
ZIP Code
60443-1119
Phone
(708) 862-4323

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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