Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NICOLE ROTOLO M.A.-CFY (SPEECH LANGUAGE PATHOLOGIST)
(315) 404-2936
Entity
Organization
Contact information
Practice address
113 ATWELL LANE, HAMPTON, VA 23669
(315) 404-2936
Mailing address
113 ATWELL LN, HAMPTON, VA 23669-2246
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2202005604
VA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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