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Organization

LIL RASCALS PEDIATRIC THERAPY, PTLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIERRA ALICIA DESORME OTD (OWNER/CEO)
(571) 932-3367
Entity
Organization

Contact information

Practice address
2400 24TH RD S APT 356, ARLINGTON, VA 22206-2653
(571) 932-3367
Mailing address
2400 24TH RD S APT 356, ARLINGTON, VA 22206-2653
(571) 932-3367

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/20/2025
Last updated
09/20/2025
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