Brenda Kay Bollivar in Sterling - Developmental Therapist
Brenda Kay Bollivar - NPI 1114049061
Brenda Kay Bollivar is a Developmental Therapist in Sterling, Illinois. Brenda Kay Bollivar practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Brenda Kay Bollivar is 1114049061. The last update date is 2007-07-08.
Brenda Kay Bollivar's current location address is 2300 West Lefevre Road, Sterling, Illinois. You can contact this provider via phone number 8156263115 and fax number 8156269640. The mailing address for Brenda Kay Bollivar is 2300 West Lefevre Road, Sterling, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Kay Bollivar |
|---|---|
| Address | 2300 West Lefevre Road, Sterling, Illinois |
| Phone Number | 8156263115 |
| Fax Number | 8156269640 |
| Sole Proprietor | N |
| Credentials | DT |
NPI Number Detail
| NPI Number | 1114049061 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 West Lefevre Road |
|---|---|
| City | Sterling |
| State | Illinois (IL) |
| Post Code | 610817703 |
| Phone Number | 8156263115 |
| Fax Number | 8156269640 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | BB94480598P |
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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 Brenda Kay Bollivar by the Centers for Medicare & Medicaid Services?
The Brenda Kay Bollivar has been assigned the NPI (National Provider Identifier) 1114049061. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brenda Kay Bollivar is physically located?
The Brenda Kay Bollivar is physically situated at the following address: 2300 West Lefevre Road, Sterling, IL, 610817703.
What is the Brenda Kay Bollivar's area of specialization and corresponding taxonomy classification?
The Brenda Kay Bollivar's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.
When did Brenda Kay Bollivar receive its 1114049061 assignment?
The Brenda Kay Bollivar was assigned its 1114049061 on 2007-04-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Brenda Kay Bollivar's details last updated?
The information pertaining to the Brenda Kay Bollivar, including its address, specialty, and other details, was most recently updated on 2007-07-08.