Organization
EASTER SEALS BALTIMORE-WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED L WILSON (CFO)
(301) 931-8700
Entity
Organization
Contact information
Practice address
111 NORTH CHERRY ST, FALLS CHURCH, VA 22046
(703) 534-5354
(703) 534-4957
Mailing address
4041 POWDER MILL RD, SUITE 100, CALVERTON, MD 20705
(301) 931-8700
(301) 931-1516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
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