NPI 1043769615

Children's Therapy Concepts LLC

Organisation Early Intervention Provider Agency Courtland, VA

Practice location

Address: 24030 Indian Town Rd, Courtland, VA 23837-2371
Phone: (757) 812-3288

Authorised official

Name: Kim Mallon
Title: Physical Therapist
Phone: (757) 812-3288

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 2305204928 (VA)

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Registry record

NPI: 1043769615
Entity type: Organization
NPI issued: 23 Sep 2016
Record last updated: 23 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.