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Organization

PEDIATRIC FEEDING SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL ANNE ELLIOTT OTR (OCCUPATIONAL THERAPIST)
(804) 691-4526
Entity
Organization

Contact information

Practice address
2224 LOCH BRAEMAR DR, NORTH CHESTERFIELD, VA 23236-1611
(804) 691-4526
Mailing address
2224 LOCH BRAEMAR DR, NORTH CHESTERFIELD, VA 23236-1611
(804) 691-4526

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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