Organization
THERAPY SERVICES OF VA
Active
Other names
On the Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HENSLEY (ADMINISTRATOR)
(800) 819-5288
Entity
Organization
Contact information
Practice address
10902 CLARA BARTON DR, BRISTOW, VA 20136-1399
(800) 819-5288
Mailing address
PO BOX 904, BRISTOW, VA 20136-0904
(800) 819-5288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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