NPI 1518371657

Wings to Fly Therapy and Play Center

Organisation Pediatrics Physician Chantilly, VA

Practice location

Address: 4530 Walney Road Suite 203, Chantilly, VA 20151
Phone: (703) 466-5533
Fax: (703) 466-5533

Authorised official

Name: Donna Shank
Title: Owner/Director
Phone: (703) 466-5533

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

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Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1518371657
Entity type: Organization
NPI issued: 17 Jun 2014
Record last updated: 17 Jun 2014

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.