Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAQUIDA WYNN, DT
Active Sole ProprietorJAQUIDA WYNN, DT is a Developmental Therapist healthcare provider located in CORTLAND, Illinois. NPI 1568942514 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CORTLAND, IL
Registration Details
- NPI Number
- 1568942514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2018 (7.9641467604973 yrs)
- Last Updated
- Aug 20, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 MCMILLAN CT UNIT 203CORTLAND, IL, 601124187Browse IL providers · Browse ZIP 60112
- Phone
- 7738180308
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in CORTLAND, IL
| Name | Credential | NPI |
|---|---|---|
| LORA MICHELLE LABADI | D.T. | 1700096179 |
| SARAH ANNE NAROFSKY | — | 1164673562 |
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.