Organization · Type 2 NPI

About the Minors

Recreation Therapist · Petersburg, VA

NPI number 1093401671 Active

Practice location

13 N Sycamore St
Petersburg, VA 23803-3233

Mailing address

2421 Fort Lee Rd
Petersburg, VA 23803-4857

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed
Music Therapist 225A00000XNone listed
Recreational Therapist Assistant 226000000XNone listed
Religious Nonmedical Nursing Personnel 374T00000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

About NPI 1093401671

About the Minors's National Provider Identifier is 1093401671, issued on Apr 17, 2023. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Petersburg, VA. The record was last updated on Apr 17, 2023.