Organization
ADAPT & GROW LLC
Active
Organization
ADAPT & GROW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R BALOG OTR/L (DIRECTOR, OCCUPATIONAL THERAPIST)
(804) 476-4389
Entity
Organization
Contact information
Practice address
1919 REDROSE DR, MAIDENS, VA 23102-2127
(804) 476-4389
Mailing address
11406 HOMESTEAD LN, HENRICO, VA 23238-4618
(703) 346-5931
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124485982
—
VA
05
—
1558804062
—
VA
05
—
1881055341
—
VA
Enumeration date
04/11/2023
Last updated
11/11/2025
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