| NPI | 1558560631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SCOTT GREER Director 703-971-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119002935) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305206199) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006336) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2011-08-03 |