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Christine Criel

Developmental Therapist in Rockford, IL. Individual provider (NPI-1).

NPI number1407417397
StatusActive
Last updated in NPPESJun 22, 2019

Details

NPI
1407417397
Entity type
Individual (NPI-1)
Name
Christine Criel
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2019
Last updated
Jun 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

422 Vale Ave N
Rockford, IL 61107-4652

Phone 815-218-9098

Mailing address

422 Vale Ave N
Rockford, IL 61107-4652

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