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Organization
SPECTRUM PEDIATRICS
Active
Organization
SPECTRUM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MCKEE (PROGRAM COORDINATOR)
(585) 943-4624
Entity
Organization
Contact information
Practice address
218 N. LEE ST. 3RD FLOOR, ALEXANDRIA, VA 22314
(703) 299-0051
(571) 495-1684
Mailing address
218 N. LEE ST. 3RD FLOOR, ALEXANDRIA, VA 22314
(703) 299-0051
(571) 495-1684
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
2202004163
VA
Other
Enumeration date
05/18/2007
Last updated
02/07/2023
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