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General NPI Number Information
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NPI Number | 1578524278
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Entity Type | Organization
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Legal Business Name | CENTER FOR PEDIATRIC THERAPIES, INC.
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 175 DEER RUN ROAD
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-797-5531
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Fax | 434-797-5529
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Provider Business Mailing Address
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Address Line | 2140 FRANKLIN TURNPIKE
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-836-4158
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Fax | 434-836-0250
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KRISTEN HOUSER BARKER
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Credential | OTRIL
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Telephone | 434-797-5531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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