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NPI Code Detail

MEDICARE: NATIONAL CHILDREN'S CENTER, INC.

MEDICARE: NATIONAL CHILDREN'S CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist
2225XP0200XPediatric Occupational Therapist
3235Z00000XSpeech-Language Pathologist
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1720200405
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL CHILDREN'S CENTER, INC.
Provider Business Mailing Address
First Line : 6200 2ND ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1426
Country : US
Telephone Number : 202-722-2300
Fax Number : 202-722-2563
Provider Business Practice Location Address
First Line : 3400 MARTIN LUTHER KING JR AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-1542
Country : US
Telephone Number : 202-279-4900
Fax Number : 202-279-4905
Authorized Official
Title or Position : CFO
Name : MICHELE DURBIN
Credential :
Telephone Number : 202-722-2356
Provider Enumeration Date : 05/03/2007
Last Update Date : 04/18/2008

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Directions to “NATIONAL CHILDREN'S CENTER, INC. ” Practice Location

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