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Mrs. Jackie Lou Anderson
Developmental Therapist in Machesney Park, Illinois
NPI 1295004406

Jackie Lou Anderson is a Developmental Therapist based in Machesney Park, IL. Jackie Lou Anderson practices in Machesney Park, IL. The NPI Number for Jackie Lou Anderson is 1295004406 and holds a License No. (Illinois).

The current practice location address for Jackie Lou Anderson is 101 Shoreland Rd, Machesney Park, IL and can be reached out via phone at 815-633-1173.

Location: 101 Shoreland Rd, Machesney Park, IL, 61115-2833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295004406
Provider Name
Jackie Lou Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Shoreland Rd, Machesney Park, IL, 61115-2833
Phone Number
815-633-1173
Fax Number
Provider Enumeration Date
12/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222Q00000X 01 IL EI
institution
Provider Business Practice Location Address Details
Address
101 Shoreland Rd
City
Machesney Park
State
Illinois
Zip
61115-2833
Phone Number
815-633-1173
Fax Number
person
Provider Business Mailing Address Details
Address
101 Shoreland Rd
City
Machesney Park
State
Illinois
Zip
61115-2833
Phone Number
815-633-1173
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
(Illinois)
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
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