| Pediatric Therapy Studio | |
|
8227 Old - Courthouse Rd #115 Vienna VA 22182 | |
| (703) 663-4808 | |
| (703) 665-1241 |
| Full Name | Pediatric Therapy Studio |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8227 Old - Courthouse Rd #115, Vienna, Virginia |
| Authorized Official Name and Position | Linda Halim (CLINICAL MANAGER) |
| Authorized Official Contact | 7036383056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapy Studio 8221 Old Courthouse Rd Suite 105 Vienna VA 22182-3839 Ph: (703) 663-4808 | Pediatric Therapy Studio 8227 Old - Courthouse Rd #115 Vienna VA 22182 Ph: (703) 663-4808 |
| NPI Number | 1992133037 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992133037 | NPI | - | NPPES |
| 1568778587 | Medicaid | VA |
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