OrganizationActive
Children'S Therapy Concepts LLC
NPI 1043769615 · Early Intervention Provider Agency · Courtland, VA
Provider details
- NPI number
- 1043769615
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kim Mallon, Physical Therapist(757) 812-3288
- License
- 2305204928 (VA)
Specialties & taxonomies
Agencies
Practice location
24030 Indian Town Rd
Courtland, VA 23837-2371
Phone: (757) 812-3288
Approximate (ZIP-level) locationGet directions
Mailing address
24030 Indian Town Rd
Courtland, VA 23837-2371
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2016-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.