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Theresa Wicklund
Developmental Therapist in Florence, Kentucky
NPI 1376905943

Theresa Wicklund is a Developmental Therapist based in Florence, KY. Theresa Wicklund practices in Florence, KY. The NPI Number for Theresa Wicklund is 1376905943 and holds a License No. (Kentucky).

The current practice location address for Theresa Wicklund is 4900 Houston Rd, Florence, KY and can be reached out via phone at 859-655-1195 and via fax at 859-655-1194. You can also correspond with Theresa Wicklund through the mailing address at 4900 HOUSTON RD, FLORENCE, KY - 41042-4824 (mailing address contact number: 859-655-1195).

Location: 4900 Houston Rd, Florence, KY, 41042-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376905943
Provider Name
Theresa Wicklund
Credential
Provider Entity Type
Individual
Gender
Female
Address
4900 Houston Rd, Florence, KY, 41042-4824
Phone Number
859-655-1195
Fax Number
859-655-1194
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201114472 01 KY IECE CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
4900 Houston Rd
City
Florence
State
Kentucky
Zip
41042-4824
Phone Number
859-655-1195
Fax Number
859-655-1194
person
Provider Business Mailing Address Details
Address
4900 Houston Rd
City
Florence
State
Kentucky
Zip
41042-4824
Phone Number
859-655-1195
Fax Number
859-655-1194
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
(Kentucky)
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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