| NPI | 1376696278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H WORCESTER Director 540-657-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119003250) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-07-02 |