Organization
CHESAPEAKE CHILDRENS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HANLON (PRACTICE MANAGER)
(703) 924-4100
Entity
Organization
Contact information
Practice address
6506 LOISDALE RD, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-5048
Mailing address
6506 LOISDALE RD, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-5048
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305205675
VA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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