NPI 1619173879

Caitlin Maura Shea, MS

Practitioner Developmental Therapist Springfield, VA

Practice location

Address: 6506 Loisdale Rd Suite 300, Springfield, VA 22150-1824
Phone: (703) 924-4100
Fax: (703) 924-0126
Mailing address: 1070 Leigh Mill Rd, Great Falls, VA 22066-2325

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence PGP0621663 (VA)

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Registry record

NPI: 1619173879
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2007
Record last updated: 8 Jul 2007

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.