OrganizationActive
About the Minors
NPI 1093401671 · Recreation Therapist · Petersburg, VA
Provider details
- NPI number
- 1093401671
- Entity type
- Organization
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Mary Scott, Director/Owner
Mailing address
2421 Fort Lee Rd
Petersburg, VA 23803-4857
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.