Organization
PEDIATRIC THERAPY SERVICES
Active
Organization
PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DODIE DOTSON WOODARD CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(540) 577-0213
Entity
Organization
Contact information
Practice address
1032 MACGILL ST, PULASKI, VA 24301-4022
(540) 577-0213
Mailing address
1032 MACGILL ST, PULASKI, VA 24301-4022
(540) 577-0213
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2202003883
VA
252Y00000X
Early Intervention Provider Agency
2306001318
VA
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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