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Organization
THE PEDIATRIC DEVELOPMENT CENTER, LLC
Active
Organization
THE PEDIATRIC DEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WETHERILL MA, CCC-SLP, COM (EXECUTIVE DIRECTOR)
(301) 869-7505
Entity
Organization
Contact information
Practice address
12520 PROSPERITY DR, SILVER SPRING, MD 20904-1664
(301) 869-7505
(301) 869-7515
Mailing address
15843 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-6623
(301) 869-7505
(301) 869-7515
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
09/12/2024
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