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
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | None listed |
| Music Therapist | 225A00000X | None listed |
| Recreational Therapist Assistant | 226000000X | None listed |
| Religious Nonmedical Nursing Personnel | 374T00000X | None 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.