Organization
CENTER FOR DEVELOPMENTAL DIFFERENCES INC
Active
Other names
CDD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDIT ROTH MA (OWNER)
(757) 352-0585
Entity
Organization
Contact information
Practice address
4000 VIRGINIA BEACH BLVD, SUITE 136, VIRGINIA BEACH, VA 23452-1743
(757) 486-0585
Mailing address
4000 VIRGINIA BEACH BLVD, SUITE 136, VIRGINIA BEACH, VA 23452-1743
(757) 486-0585
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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