Theresa Lynn Fitzgerald in Polo - Developmental Therapist
Theresa Lynn Fitzgerald - NPI 1902924590
Theresa Lynn Fitzgerald is a Developmental Therapist in Polo, Illinois. Theresa Lynn Fitzgerald practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Theresa Lynn Fitzgerald is 1902924590. The last update date is 2019-12-03.
Theresa Lynn Fitzgerald's current location address is 6301 S Unity Rd, Polo, Illinois. You can contact this provider via phone number 8159463402 and fax number 8159463402. The mailing address for Theresa Lynn Fitzgerald is 6301 S Unity Rd, Polo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Lynn Fitzgerald |
|---|---|
| Address | 6301 S Unity Rd, Polo, Illinois |
| Phone Number | 8159463402 |
| Fax Number | 8159463402 |
| Sole Proprietor | Y |
| Credentials | D.T. |
NPI Number Detail
| NPI Number | 1902924590 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2019-12-03 |
Provider Mailing Address Detail
| Address | 6301 S Unity Rd |
|---|---|
| City | Polo |
| State | Illinois (IL) |
| Post Code | 610649304 |
| Phone Number | 8159463402 |
| Fax Number | 8159463402 |
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 Theresa Lynn Fitzgerald by the Centers for Medicare & Medicaid Services?
The Theresa Lynn Fitzgerald has been assigned the NPI (National Provider Identifier) 1902924590 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Theresa Lynn Fitzgerald's facilities are situated?
The facilities of Theresa Lynn Fitzgerald are physically located at the following address: 6301 S Unity Rd, Polo, IL, 610649304.
What is Theresa Lynn Fitzgerald's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa Lynn Fitzgerald'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 Theresa Lynn Fitzgerald receive the assignment of its 1902924590 from the Centers for Medicare & Medicaid Services?
The Theresa Lynn Fitzgerald was issued its 1902924590 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details pertaining to Theresa Lynn Fitzgerald last refreshed?
The information related to the Theresa Lynn Fitzgerald, including its address, specialty, and other relevant details, was last updated on 2019-12-03.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH