| NPI | 1013691260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE YOPP Owner 757-615-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XM0800X Occupational Therapist Mental Health | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-11-03 |