Organization
CRADLE TO TABLE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN ELIZABETH KNOWSLEY M.S. CCC-CLP (SPEECH-LANGUAGE PATHOLOGIST)
(434) 414-7886
Entity
Organization
Contact information
Practice address
1359 SCOTTS BOTTOM RD, DILLWYN, VA 23936-2700
(434) 414-7886
Mailing address
1359 SCOTTS BOTTOM RD, DILLWYN, VA 23936-2700
(434) 414-7886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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