Individual
EMILY TERESE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
1428 W LAFAYETTE ST, OTTAWA, IL 61350-1761
(815) 343-6824
Mailing address
1428 W LAFAYETTE ST, OTTAWA, IL 61350-1761
(815) 343-6824
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
EZ65610802P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EZ65610802P
EARLY INTERVENTION CREDEN
IL
Enumeration date
04/26/2007
Last updated
07/08/2007
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