Individual provider · NPI-1
Sarah Wimberly
Developmental Therapist · Elgin, IL
NPI number1306341888
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1306341888
- Entity type
- Individual (NPI-1)
- Name
- Sarah Wimberly
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2018
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
727 Saint John StElgin, IL 60120-3754
Phone 630-723-7031
Mailing address
727 Saint John StElgin, IL 60120-3754
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