| NPI | 1649353483 |
|---|---|
| Other Name | PEDIATRIC NEURO REHAB SERVICES |
| Entity Type | Organization |
| Authorized Contact | PATSY PENMAN LEACH Pediatric Occupational Therapist 703-242-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: VA 0119000736) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-07-01 |