Organization
QUALITY PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LAUREN WATERS MS CCC-SLP (SLP/OWNER)
(850) 276-6946
Entity
Organization
Contact information
Practice address
1800 WILSON BLVD UNIT 428, ARLINGTON, VA 22201-6607
(850) 276-6946
Mailing address
1800 WILSON BLVD UNIT 428, ARLINGTON, VA 22201-6607
(850) 276-6946
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/17/2022
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