NPI | 1669602272 |
---|---|
Doing Business As | PEBBLES PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | KRISTIN MULLENHOLZ EMERY Administrator 703-534-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305003368) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305203344) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2009-07-16 |