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 |