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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENISE MICHELLE MANGRUM, DT

Active Sole Proprietor

DENISE MICHELLE MANGRUM, DT is a Developmental Therapist healthcare provider located in PARK FOREST, Illinois. NPI 1164142212 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · PARK FOREST, IL

Registration Details

NPI Number
1164142212
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2022 (3.9336945447305 yrs)
Last Updated
Aug 30, 2022
Sole Proprietor
Yes

Practice Information

Address
252 RICH RD
PARK FOREST, IL, 604661630
Browse IL providers · Browse ZIP 60466
Phone
7739712230
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in PARK FOREST, IL

Name Credential NPI
MRS. JANE ANN DWYER DTH 1801931670
BARBARA SPEARS D.T. 1679695654
KENYETTA N. BROUGHTON-FLOYD 1104030139
MRS. LORELLE BEAUGARD 1801088091
MRS. MARGARET CECILIA ADEBAYO DT 1487886479
MISS CHIQUITA NICOLE THOMPSON D.T. 1376803056
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.