Organization
MADISON PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ASHLEY-ALLEN GEARY MOT OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(703) 434-1926
Entity
Organization
Contact information
Practice address
12512 ALUM SPRINGS RD, CULPEPER, VA 22701-5111
(703) 434-1926
(540) 317-5200
Mailing address
12512 ALUM SPRINGS RD, CULPEPER, VA 22701-5111
(703) 434-1926
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119005303
BOARD OF MEDICINE
VA
Enumeration date
04/04/2019
Last updated
07/26/2021
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