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Organization
PEDIATRIC THERAPY STUDIO
Active
Organization
PEDIATRIC THERAPY STUDIO
Active
Other names
Great Beginnings VA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HALIM (CLINICAL MANAGER)
(703) 638-3056
Entity
Organization
Contact information
Practice address
8227 OLD - COURTHOUSE RD #115, VIENNA, VA 22182
(703) 663-4808
(703) 665-1241
Mailing address
8221 OLD COURTHOUSE RD, SUITE 105, VIENNA, VA 22182-3839
(703) 663-4808
(844) 764-4499
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
2202006160
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568778587
—
VA
Enumeration date
10/29/2013
Last updated
05/16/2022
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