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

JAMES MICHAEL PETERSON

Active Sole Proprietor

JAMES MICHAEL PETERSON is a Developmental Therapist healthcare provider located in ROCKFORD, Illinois. NPI 1619784493 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · ROCKFORD, IL

Registration Details

NPI Number
1619784493
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2024 (1.691740969304 yrs)
Last Updated
Dec 16, 2024
Sole Proprietor
Yes

Practice Information

Address
405 WELTY AVE
ROCKFORD, IL, 611074562
Browse IL providers · Browse ZIP 61107
Phone
7792216395
Primary Specialty
Developmental Therapist
222Q00000X
Additional Specialty
Developmental Therapist

Other Developmental Therapist Providers in ROCKFORD, IL

Name Credential NPI
MS. JEAN FRANCES PETERSON MS, CDS 1073634994
MS. BONNIE R JOHNSON DT 1063635548
JENNIFER ANNE BOYD 1801012992
LORA PROCHASKA DEVELOPMENTAL THERAP 1396962817
JULIA L. ANDERSON D.T. 1609095850
MRS. JANET A RANDALL DT 1356553788
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.