Organization
CRIPPLED CHILDREN'S HOSPITAL
Active
Other names
Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE G WYATT (PRESIDENT & CEO)
(804) 321-7474
Entity
Organization
Contact information
Practice address
321 B POPLAR DRIVE, SUITE 4 CHILDREN'S HOSPITAL THERAPY CENTER, PETERSBURG, VA 23805
(804) 321-7474
(804) 228-5210
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL THERAPY DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H1842
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
07/22/2008
Last updated
07/22/2008
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