Provider Demographics
NPI:1467574848
Name:BYRD, JANICE RUMUNDA (DT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:RUMUNDA
Last Name:BYRD
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1066
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-7066
Mailing Address - Country:US
Mailing Address - Phone:630-209-3508
Mailing Address - Fax:
Practice Address - Street 1:29W451 EMERALD GREEN DR UNIT B
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-2096
Practice Address - Country:US
Practice Address - Phone:630-209-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist