| NPI | 1063032845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADIYA COPPEDGE Owner 804-519-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-01-29 |