Organization
CRIPPLED CHILDREN'S HOSPITAL
Active
Other names
Children's Hsopital
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL G WEIDMAN (VICE PRESIDENT & CFO)
(804) 321-7474
Entity
Organization
Contact information
Practice address
10124 W BROAD ST, CHILDREN'S HOSPITAL THERAPY CENTER SUITE K, GLEN ALLEN, VA 23060-3330
(804) 273-6656
(804) 273-6612
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 321-2728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
H1842
VA
225X00000X
Occupational Therapist
H1842
VA
235Z00000X
Speech-Language Pathologist
Primary
H1842
VA
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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