Organization
INTEGRATED THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JANE CALDWELL (OFFICE MANAGER)
(804) 282-4596
Entity
Organization
Contact information
Practice address
1610 FOREST AVENUE, SUITE 214, HENRICO, VA 23229-5009
(804) 282-4596
(804) 282-4598
Mailing address
1610 FOREST AVENUE, SUITE 214, HENRICO, VA 23229-5009
(804) 282-4596
(804) 282-4598
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202054
ANTHEM
VA
01
—
2649005
AETNA
VA
Enumeration date
01/30/2007
Last updated
12/16/2011
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