| NPI | 1740422682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F SHIELDS Billing Manager 804-282-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-08-11 |