Organization
AMY BROY DBA DEVELOPMENTAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BROY (DEVELOPMENTAL THERAPIST)
(618) 967-3774
Entity
Organization
Contact information
Practice address
610 N HORRELL AVE, WEST FRANKFORT, IL 62896-1722
(618) 967-3774
Mailing address
610 N HORRELL AVE, WEST FRANKFORT, IL 62896-1722
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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