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Organization

PEDIATRIC THERAPY SPECIALISTS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NATASHA NELAM MALHOTRA MSOTR L (OWNER)
(703) 503-5300
Entity
Organization

Contact information

Practice address
9673 MAIN ST STE A, FAIRFAX, VA 22031-3761
(703) 503-5300
(703) 503-5387
Mailing address
9673 MAIN ST STE A, FAIRFAX, VA 22031-3761
(703) 503-5300
(703) 503-5387

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
VA

Other

Enumeration date
10/13/2006
Last updated
08/22/2020
About Stedi
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