| NPI | 1912848482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON R SMITH Organizer 571-234-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |