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Connie Lynn Grimmett

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

NPI number1508515933
StatusActive
Last updated in NPPESMar 22, 2022

Details

NPI
1508515933
Entity type
Individual (NPI-1)
Name
Connie Lynn Grimmett
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2022
Certification date
Mar 22, 2022
Last updated
Mar 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

4948 W 86th St
Burbank, IL 60459-2820

Phone 312-937-3747

Mailing address

4948 W 86th St
Burbank, IL 60459-2820

Phone 312-937-3747

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