| NPI | 1568818904 |
|---|---|
| Other Name | WYLENA NELL THORNTON |
| Entity Type | Organization |
| Authorized Contact | WYLENA NELL THORNTON Developmental Therapist 708-785-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |