Organization
CHILD DEVELOPMENT RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA C JAVIER (DIRECTOR)
(757) 566-3300
Entity
Organization
Contact information
Practice address
312 WALLER MILL RD, WILLIAMSBURG, VA 23185-3000
(757) 566-3300
(757) 566-8977
Mailing address
312 WALLER MILL RD, WILLIAMSBURG, VA 23185-3000
(757) 566-3300
(757) 566-8977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194409
ANTHEM - PHYSICAL THERAPY
VA
01
—
194410
ANTHEM - OCCUPATIONAL THE
VA
01
—
194411
ANTHEM - SPEECH THERAPY
VA
01
—
45084
OPTIMA
VA
05
—
4978501
—
VA
Enumeration date
11/14/2006
Last updated
04/10/2026
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