Peterson, Michelle

Peterson, Michelle is an sole proprietor health care provider with primary practice located at 579 Riford Rd , Glen Ellyn IL 60137-4236. 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. Peterson, Michelle can be contacted via phone (630) 858-2336.

Contact Information

Primary practice address
579 Riford Rd Glen Ellyn IL 60137-4236
Phone: (630) 858-2336
Fax: (630) 942-0377
Website:
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Health care specialties

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

Profile Details

NPI number 1619169901
LBN Legal business name Peterson, Michelle
Credentials DEVELOPMENTAL THERAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Aug 10th, 2007 - about 17 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.

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