| NPI | 1558560631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GREER Owner 571-603-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119002935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006336) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2025-04-01 |