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

MS. DONNA MARIE HENDRICKS-MANTECA, DT

Active Sole Proprietor

MS. DONNA MARIE HENDRICKS-MANTECA, DT is a Developmental Therapist healthcare provider located in MATTESON, Illinois. NPI 1386995959 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · MATTESON, IL

Registration Details

NPI Number
1386995959
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2012 (13.876979366275 yrs)
Last Updated
Sep 24, 2012
Sole Proprietor
Yes

Practice Information

Address
5633 CRESTWOOD RD
MATTESON, IL, 604431119
Browse IL providers · Browse ZIP 60443
Phone
7088624323
Fax
7087202740
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in MATTESON, IL

Name Credential NPI
MISS TIFFANY MARIE DAVID 1104140060
LATOYA DELERE RICHARD 1982925962
KATRINA BARNES 1144656976
MS. KATHERINE LEVETTE BEALE 1528624749
ANNETTE BENNETT 1619518776
CRYSTAL M. DENTON MAT, M. ED, SE, ECSE 1023827037
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.