| NPI | 1558656595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BLAIR CARROLL Ocupational Therapist/Owner 757-651-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 230520224) | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119002296) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2025-08-14 |