Individual
GABRIELLE PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 MARY BETHUNE ST STE 100, HALIFAX, VA 24558-3213
(434) 476-2171
Mailing address
PO BOX 1849, HALIFAX, VA 24558-1849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000973
VA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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