Organization
CENTER FOR PEDIATRIC THERAPIES, INC.
Active
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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