NPI | 1316051287 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA M DUPREE Office/Insurance Manager 757-488-2864 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2020-08-22 |