Mary Petre in Champaign - Developmental Therapist
Mary Petre - NPI 1740409630
Mary Petre is a Developmental Therapist in Champaign, Illinois. Mary Petre practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Mary Petre is 1740409630. The last update date is 2007-07-08.
Mary Petre's current location address is 1304 W Bradley Ave, Champaign, Illinois. You can contact this provider via phone number 2173569176 and fax number 2173569851. The mailing address for Mary Petre is 1304 W Bradley Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Petre |
|---|---|
| Address | 1304 W Bradley Ave, Champaign, Illinois |
| Phone Number | 2173569176 |
| Fax Number | 2173569851 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740409630 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1304 W Bradley Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618212035 |
| Phone Number | 2173569176 |
| Fax Number | 2173569851 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the unique 10-digit identifier code issued to Mary Petre by the Centers for Medicare & Medicaid Services?
The Mary Petre has been assigned the NPI (National Provider Identifier) 1740409630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mary Petre located?
The Mary Petre is located at 1304 W Bradley Ave, Champaign, IL 618212035.
What is Mary Petre's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Petre is Developmental Therapist, and the taxonomy classification code that categorizes this area of expertise is 222Q00000X.
On what date was the 1740409630 assigned to Mary Petre?
The Mary Petre was issued its 1740409630 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Petre most recently updated or revised?
The details related to Mary Petre, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.