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Organization

THE PEDIATRIC DEVELOPMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY WETHERILL MA, CCC-SLP (MANAGING DIRECTOR)
(301) 869-7505
Entity
Organization

Contact information

Practice address
15850 CRABBS BRANCH WAY, SUITE 150, ROCKVILLE, MD 20855-2622
(301) 869-7505
(301) 869-7515
Mailing address
15843 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-6623
(301) 869-7505
(301) 869-7515

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/05/2014
Last updated
02/04/2025
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