Organization
PREMIER PEDIATRIC THERAPY SOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE ALLEN OTD (PRESIDENT & CEO)
(703) 879-2479
Entity
Organization
Contact information
Practice address
2776 S ARLINGTON MILL DR # 534, ARLINGTON, VA 22206-3402
(703) 879-2479
(703) 879-2803
Mailing address
2776 S ARLINGTON MILL DR # 534, ARLINGTON, VA 22206-3402
(703) 879-2479
(703) 879-2803
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119005367
VA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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