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Organization

DOTS4PEDSLLC-DEVELOPMENTAL OUTPATIENT THERAPY SERVICES FOR PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JODIE ANN CALLAHAN OTR (OCCUPATIONAL THERAPIST/CO-FOUNDER)
(703) 451-0452
Entity
Organization

Contact information

Practice address
8208 SMITHFIELD AVE, SPRINGFIELD, VA 22152-3053
(703) 451-0452
Mailing address
8208 SMITHFIELD AVE, SPRINGFIELD, VA 22152-3053
(703) 451-0452

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00119001236
VA

Other

Enumeration date
03/19/2015
Last updated
06/05/2015
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