Central Illinois Developmental Therapy, Inc.

NPI #1578778403 in Charleston, Illinois

Provider Information

NPI Number: 1578778403
Entity Type: Organization
Organization Name: Central Illinois Developmental Therapy, Inc.
Primary Specialty: Developmental Therapist
Enumeration Date: May 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 762 8TH ST
City: Charleston
State: Illinois
ZIP Code: 61920-2116
Phone: (217) 821-1752

Authorized Official

Name: VIVIAN FAYE WINCHESTER
Title: PRESIDENT
Phone: (217) 821-1752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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