Organization
TEAM THERAPY
Active
Organization
TEAM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINDY LEIGH ELLIOTT OTRL (OWNER)
(434) 634-4868
Entity
Organization
Contact information
Practice address
2467 BEEF RD, EMPORIA, VA 23847-5020
(434) 634-4868
(434) 634-4834
Mailing address
2467 BEEF RD, EMPORIA, VA 23847-5020
(434) 634-4868
(434) 634-4834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210730
—
NC
Enumeration date
02/01/2007
Last updated
08/22/2020
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