Crippled Children's Hospital

NPI #1386809044 in Petersburg, Virginia

Provider Information

NPI Number: 1386809044
Entity Type: Organization
Organization Name: Crippled Children's Hospital
Primary Specialty: Clinic/Center
Enumeration Date: Jul 22, 2008
Last Updated: Jul 22, 2008

Practice Location

Address: 321 B POPLAR DRIVE
Address 2: SUITE 4 CHILDREN'S HOSPITAL THERAPY CENTER
City: Petersburg
State: Virginia
ZIP Code: 23805
Phone: (804) 321-7474

Authorized Official

Name: MRS. LESLIE G WYATT
Title: PRESIDENT & CEO
Phone: (804) 321-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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