Organization
THE CHILDREN'S THERAPY CENTER
Active
Organization
THE CHILDREN'S THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE MACKELL PT (PRESIDENT)
(484) 787-2267
Entity
Organization
Contact information
Practice address
100 CARPENTER DR, SUITE 140, STERLING, VA 20164-7114
(703) 707-9060
(703) 707-9022
Mailing address
100 CARPENTER DR STE 140, STERLING, VA 20164-4464
(703) 707-9060
(703) 707-9022
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/24/2007
Last updated
10/02/2019
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