Organization
KIDZ THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-KATHERINE DAVIDSON-TAYLOR MS OTR/L (DIRECTOR)
(703) 862-6557
Entity
Organization
Contact information
Practice address
3508 FORT HILL DR, ALEXANDRIA, VA 22310-2105
(703) 862-6557
Mailing address
3508 FORT HILL DR, ALEXANDRIA, VA 22310-2105
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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