Hendricks-Manteca, Donna Marie

Hendricks-Manteca, Donna Marie is an sole proprietor health care provider with primary practice located at 5633 Crestwood Rd , Matteson IL 60443-1119. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Hendricks-Manteca, Donna Marie can be contacted via phone (708) 862-4323.

Contact Information

Primary practice address
5633 Crestwood Rd Matteson IL 60443-1119
Phone: (708) 862-4323
Fax: (708) 720-2740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1386995959
LBN Legal business name Hendricks-Manteca, Donna Marie
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2012
Last updated Sep 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers