Debra Widehofer in Decatur - Developmental Therapist
Debra Widehofer - NPI 1497877237
Debra Widehofer is a Developmental Therapist in Decatur, Illinois. Debra Widehofer practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Debra Widehofer is 1497877237. The last update date is 2007-07-08.
Debra Widehofer's current location address is 500 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174752234. The mailing address for Debra Widehofer is 500 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Widehofer |
|---|---|
| Address | 500 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174752234 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497877237 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213336 |
| Phone Number | 2174752234 |
| Fax Number |
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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Post Comment/ Review Below
What is the unique identifier code issued to Debra Widehofer by the Centers for Medicare & Medicaid Services (CMS)?
The Debra Widehofer has been assigned the NPI (National Provider Identifier) 1497877237. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Debra Widehofer's facilities are geographically located?
The facilities of Debra Widehofer are physically situated at the following location: 500 E Lake Shore Dr, Decatur, IL, 625213336.
What is Debra Widehofer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debra Widehofer's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.
On what date did the Debra Widehofer receive the assignment of its 1497877237 from the Centers for Medicare & Medicaid Services?
The Debra Widehofer was issued its 1497877237 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the Debra Widehofer's information last updated?
The Debra Widehofer's information was last updated on 2007-07-08.