Lyndsey E Wolverton

NPI #1538647318 in Montgomery, Illinois

Provider Information

NPI Number: 1538647318
Entity Type: Individual
Name: Lyndsey E Wolverton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 3265 MILLRACE LN
City: Montgomery
State: Illinois
ZIP Code: 60538-3448
Phone: (630) 408-0469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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