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Organization
THERAPY SERVICES OF VA
Active
Organization
THERAPY SERVICES OF VA
Active
Other names
On the Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HENSLEY (ADMINISTRATOR)
(800) 819-5288
Entity
Organization
Contact information
Practice address
10902 CLARA BARTON DR, BRISTOW, VA 20136-1399
(800) 819-5288
Mailing address
PO BOX 904, BRISTOW, VA 20136-0904
(800) 819-5288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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