| NPI | 1447481478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KOREN ENGLERT Occupational Therapist 804-748-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 1255386) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119001293) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2012-11-19 |