# PEDIATRIC THERAPY STUDIO

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

## Provider details

- **NPI number:** 1639549009
- **Authorized official:** PHAEDRA ALMAJID (SPEECH THERAPIST)
- **Authorized official phone:** (571) 766-8455

## Contact information

- **Practice address:** 2106 GALLOWS RD, SUITE E, VIENNA, VA 22182-3961
- **Practice address phone:** (571) 766-8455
- **Mailing address:** 2106 GALLOWS RD, SUITE E, VIENNA, VA 22182-3961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2015
- **Last updated:** 09/29/2015