Organization
BAYSIDEREHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STONESTREET OT (VICE PRESIDENT)
(757) 442-5222
Entity
Organization
Contact information
Practice address
36082 LANKFORD HWY, BELLE HAVEN, VA 23306
(757) 442-5222
Mailing address
36082 LANKFORD HWY, PO BOX 149, BELLE HAVEN, VA 23306
(757) 442-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002819
VA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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