Jean Frances Peterson in Rockford - Developmental Therapist

Jean Frances Peterson - NPI 1073634994

Jean Frances Peterson is a Developmental Therapist in Rockford, Illinois. Jean Frances Peterson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Jean Frances Peterson is 1073634994. The last update date is 2007-07-08.

Jean Frances Peterson's current location address is 2400 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159715184 and fax number 8159719860. The mailing address for Jean Frances Peterson is 2400 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean Frances Peterson
Address 2400 N Rockton Ave, Rockford, Illinois
Phone Number 8159715184
Fax Number 8159719860
Sole Proprietor N
Credentials MS, CDS

NPI Number Detail

NPI Number 1073634994
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2400 N Rockton Ave
City Rockford
State Illinois (IL)
Post Code 611033655
Phone Number 8159715184
Fax Number 8159719860

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Licence No 222Q00000X
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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FAQs about Jean Frances Peterson

What is the unique 10-digit identification code issued to Jean Frances Peterson by the Centers for Medicare & Medicaid Services?

The Jean Frances Peterson has been assigned the NPI (National Provider Identifier) 1073634994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jean Frances Peterson's facilities are situated?

The facilities of Jean Frances Peterson are physically located at the following address: 2400 N Rockton Ave, Rockford, IL, 611033655.

What is Jean Frances Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jean Frances Peterson is Developmental Therapist, and the taxonomy code that categorizes this field of expertise is 222Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073634994 to Jean Frances Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1073634994 to Jean Frances Peterson on 2007-04-02.

As of what date was the information pertaining to Jean Frances Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jean Frances Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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