| NPI | 1538609771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LARYEA Owner 804-366-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010000451) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000685) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |