OrganizationActive
Bayside Children'S Therapy Network, Inc.
NPI 1184938003 · Pediatric Occupational Therapist · Gloucester, VA
Provider details
- NPI number
- 1184938003
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Mccann, President, OT(804) 210-1555
- License
- 2202003940 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6688 Main St
Gloucester, VA 23061-5194
Phone: (804) 210-1555
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Gloucester, VA 23061-0130
Registry dates
- Enumerated
- 2010-08-03
- Last updated
- 2010-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.