| NPI | 1518371657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SHANK Owner/Director 703-466-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |