Organization
SHORE REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P YEARTY (CFO VP FINANCE)
(757) 414-8756
Entity
Organization
Contact information
Practice address
9539 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8004
(757) 414-8009
Mailing address
PO BOX 17, NASSAWADOX, VA 23413-0017
(757) 414-8004
(757) 414-8009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
03/18/2008
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