Organization
CRIPPLED CHILDREN'S HOSPITAL
Active
Other names
Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL G WEIDMAN (VICE PRESIDENT & CFO)
(804) 321-7474
Entity
Organization
Contact information
Practice address
10530 SPOTSYLVANIA AVE SUITE 102, CHILDREN'S HOSPITAL THERAPY CENTER, FREDERICKSBURG, VA 22408
(540) 891-4485
(540) 891-4486
Mailing address
2924 BROOK RD, CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 321-2728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
H1842
VA
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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