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Organization
TINY TOES THERAPY, LLC
Active
Organization
TINY TOES THERAPY, LLC
Active
Other names
SLC Loudoun
Organization subpart
No
Provider details
NPI number
Authorized official
GORDY ROGERS (OWNER)
(917) 628-7525
Entity
Organization
Contact information
Practice address
21630 RIDGETOP CIR STE 100, STERLING, VA 20166-6564
(571) 449-6281
Mailing address
21630 RIDGETOP CIR STE 100, STERLING, VA 20166-6564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
2202006730
VA
Other
Enumeration date
10/07/2014
Last updated
01/13/2023
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