| NPI | 1184938003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCCANN President, Ot 804-210-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119004244) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003940) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305000705) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-09-09 |