Organization
CENTER FOR DEVELOPMENTAL DIFFERENCES INC
Active
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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