# PEDIATRIC FEEDING SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316451263
- **Authorized official:** MRS. CAROL ANNE ELLIOTT OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (804) 691-4526

## Contact information

- **Practice address:** 2224 LOCH BRAEMAR DR, NORTH CHESTERFIELD, VA 23236-1611
- **Practice address phone:** (804) 691-4526
- **Mailing address:** 2224 LOCH BRAEMAR DR, NORTH CHESTERFIELD, VA 23236-1611
- **Mailing address phone:** (804) 691-4526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | NULL | Yes |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2017
- **Last updated:** 11/29/2017