# SPECTRUM PEDIATRICS

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

## Provider details

- **NPI number:** 1417165168
- **Authorized official:** ERIN MCKEE (PROGRAM COORDINATOR)
- **Authorized official phone:** (585) 943-4624

## Contact information

- **Practice address:** 218 N. LEE ST. 3RD FLOOR, ALEXANDRIA, VA 22314
- **Practice address phone:** (703) 299-0051
- **Practice address fax:** (571) 495-1684
- **Mailing address:** 218 N. LEE ST. 3RD FLOOR, ALEXANDRIA, VA 22314
- **Mailing address phone:** (703) 299-0051
- **Mailing address fax:** (571) 495-1684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 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
