Pediatric Therapy Studio | |
2106 Gallows Rd Suite E Vienna VA 22182-3961 | |
(571) 766-8455 | |
Not Available |
Full Name | Pediatric Therapy Studio |
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Speciality | Community/behavioral Health |
Location | 2106 Gallows Rd, Vienna, Virginia |
Authorized Official Name and Position | Jessica Corrente (ABA THERAPIST) |
Authorized Official Contact | 7323123090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Therapy Studio 1201 S Courthouse Rd #332 Arlington VA 22204-0812 Ph: () - | Pediatric Therapy Studio 2106 Gallows Rd Suite E Vienna VA 22182-3961 Ph: (571) 766-8455 |
NPI Number | 1285006270 |
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Provider Enumeration Date | 10/29/2015 |
Last Update Date | 10/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285006270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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