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EXCEL GROWTH THERAPIES, LLC

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant

Provider NPI: 1073788931

Organization Information:
Organization Name:  EXCEL GROWTH THERAPIES, LLC
Organization is not Subpart
Authorized Official:  DENIECE MARAGRITA' PAYNE  DIRECTOR  571-330-8120

Practice Location:
10105 S FULTON DR  FREDERICKSBURG, VA 22408-0260 US
Tel: 571-931-7420  Fax: 877-771-3419

Business Mailing Address:
10105 S FULTON DR  FREDERICKSBURG, VA 22408-0260 US
Tel: 571-931-7420  Fax: 877-771-3419

NPI Information:
NPI: 1073788931
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
VA
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305204162
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
VA2306000431
N225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner
VA
N225600000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Dance Therapist
VA
N225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Counselor
N225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Counselor
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N235500000XSpeech, Language and Hearing Service Providers
Specialist/Technologist
VA
N2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
VA
N252Y00000XAgencies
Early Intervention Provider Agency
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
N332BC3200XSuppliers
Durable Medical Equipment & Medical Supplies
Y251C00000XAgencies
Day Training, Developmentally Disabled Services

Other Provider Identifiers:

IssuerNumberStateType
1073788931VA05



American Medical Association 2012 taxonomy code information

Code: 251C00000X

Type:

Classification:



Definition:



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