Organization
THERAPY 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORNA SHER OT (VICE PRESIDENT)
(703) 978-8400
Entity
Organization
Contact information
Practice address
9685 MAIN ST STE B, FAIRFAX, VA 22031-3752
(703) 978-8400
(703) 978-9898
Mailing address
9685 MAIN ST STE B, FAIRFAX, VA 22031-3752
(703) 978-8400
(703) 978-9898
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305202398
VA
225XP0200X
Pediatric Occupational Therapist
0119002945
VA
235Z00000X
Speech-Language Pathologist
2202003923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192064
ANTHEM BCBS PT
VA
01
—
192066
ANTHEM BCBS OT
VA
01
—
192067
ANTHEM BCBS SPEECH
VA
01
—
3429217
AETNA PPO
VA
01
—
696852
UNITED HEALTH CARE
VA
01
—
7347554
AETNA HMO
VA
01
—
G663
CARE FIRST BCBS
VA
Enumeration date
03/02/2007
Last updated
10/13/2007
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