Organization
PENNSYLVANIA DIVERSITY CHILDREN'S ORGANIZATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TETYANA VARENYCHENKO (EXECUTIVE DIRECTOR)
(267) 571-2469
Entity
Organization
Contact information
Practice address
2337 PHILMONT AVE, SUITE 106, HUNTINGDON VALLEY, PA 19006-6200
(267) 571-2469
(267) 571-2476
Mailing address
2337 PHILMONT AVE, SUITE 106, HUNTINGDON VALLEY, PA 19006-6200
(267) 571-2469
(267) 571-2476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
08/09/2013
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