NPI 1093401671
About the Minors
Practice location
- Address
- 13 N Sycamore St, Petersburg, VA 23803-3233
- Phone
- (804) 295-3382
- Mailing address
- 2421 Fort Lee Rd, Petersburg, VA 23803-4857
Authorised official
- Name
- Mary Scott
- Title
- Director/Owner
- Phone
- (804) 295-3382
Registered specialties (4)
Recreation Therapist
Primary
Music Therapist
Recreational Therapist Assistant
Religious Nonmedical Nursing Personnel
Registry record
- NPI
- 1093401671
- Entity type
- Organization
- NPI issued
- 17 Apr 2023
- Record last updated
- 17 Apr 2023
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.