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Organization

EARLY START THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH BOLANLE AKINYELE (CEO)
(301) 254-0782
Entity
Organization

Contact information

Practice address
6416 GROVEDALE DR STE 300, ALEXANDRIA, VA 22310-2678
(703) 813-6330
(301) 710-6379
Mailing address
2445 ARMY NAVY DR, SUITE 305, ARLINGTON, VA 22206-2905
(703) 813-6330
(301) 710-6379

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037761900
MD
05
1619274685
VA
Enumeration date
02/28/2011
Last updated
02/24/2023
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