Megan Provenzale
Megan Provenzale is a Developmental Therapist in Downers Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
4201 Lacey RdDowners Grove, IL 60515-1839
Phone: (630) 551-6044
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (IL) |
|---|
Record details
| NPI number | 1487350476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2023 |
| Last updated in NPPES | February 1, 2023 |
| Certification date | February 1, 2023 |
| Mailing address | 4201 Lacey Rd, Downers Grove, IL 60515-1839 |
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