Provider Demographics
NPI:1497234124
Name:VIRTUS ET SCIENTIA LLC
Entity Type:Organization
Organization Name:VIRTUS ET SCIENTIA LLC
Other - Org Name:CHILDREN'S EVALUATION & THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRYANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WOOTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:240-245-4370
Mailing Address - Street 1:4200 PARLIAMENT PL STE 550
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1883
Mailing Address - Country:US
Mailing Address - Phone:240-245-4370
Mailing Address - Fax:
Practice Address - Street 1:4200 PARLIAMENT PL STE 550
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:240-245-4370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07045225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty