Organization
CENTER FOR PEDIATRIC THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN HOUSER BARKER OTRIL (EXECUTIVE DIRECTOR)
(434) 797-5531
Entity
Organization
Contact information
Practice address
175 DEER RUN ROAD, DANVILLE, VA 24540
(434) 797-5531
(434) 797-5529
Mailing address
2140 FRANKLIN TURNPIKE, DANVILLE, VA 24540
(434) 836-4158
(434) 836-0250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004981197
—
VA
Enumeration date
03/31/2006
Last updated
10/12/2022
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