Organization
GROWING KIDS THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RANDALL (PRACTICE MANAGER)
(703) 464-0456
Entity
Organization
Contact information
Practice address
722 GRANT ST STE A, HERNDON, VA 20170-4533
(703) 464-0456
Mailing address
722 GRANT ST STE A, HERNDON, VA 20170-4533
(703) 464-0456
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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