Reach Pediatric Rehab

LBN: Reach Pediatric Rehab
Reach Pediatric Rehab is an health care organization with primary practice located at 8229 Boone Blvd Ste 260 , Vienna VA 22182-2661. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is the primary health care specialty. Reach Pediatric Rehab can be contacted via phone (571) 310-2502, or through Pham, Kelly Loraine Dauer via phone (571) 310-2502.

Contact Information

Primary practice address
8229 Boone Blvd Ste 260 Vienna VA 22182-2661
Phone: (571) 310-2502
Fax: (571) 413-0290
Website:
Map and Directions
Authorized official contact:
Name: Pham, Kelly Loraine Dauer Doctor of Medicine (MD)
Phone: (571) 310-2502

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X

Profile Details

NPI number 1770225674
LBN Legal business name Reach Pediatric Rehab
DBA Doing business as Reach Pediatric Rehab
Authorized official Pham, Kelly Loraine Dauer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2022
Last updated May 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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