Organization
CARDINAL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BURNETT CCC-SLP (OWNER)
(276) 733-5692
Entity
Organization
Contact information
Practice address
1268 BLACK LICK RD, WYTHEVILLE, VA 24382-5812
(276) 733-5692
Mailing address
1268 BLACK LICK RD, WYTHEVILLE, VA 24382-5812
(276) 733-5692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006031
VA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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