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Organization

MADISON PEDIATRIC THERAPY

Active
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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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