Organization
KLM PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MEANS M.S. CCC-SLP (PRESIDENT)
(804) 972-8486
Entity
Organization
Contact information
Practice address
541 JERUSALEM RD, BOYDTON, VA 23917-4519
(804) 972-8486
(866) 803-2367
Mailing address
541 JERUSALEM RD, BOYDTON, VA 23917-4519
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
2202006255
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861706624
—
VA
Enumeration date
07/25/2012
Last updated
07/25/2012
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