Organization
PEDIATRIC THERAPY STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHAEDRA ALMAJID (SPEECH THERAPIST)
(571) 766-8455
Entity
Organization
Contact information
Practice address
2106 GALLOWS RD, SUITE E, VIENNA, VA 22182-3961
(571) 766-8455
Mailing address
2106 GALLOWS RD, SUITE E, VIENNA, VA 22182-3961
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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