| NPI | 1639771439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELLE WILSON HARVEY Owner 301-908-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |