Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODY VANALLEN MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(508) 695-6879
Entity
Organization
Contact information
Practice address
745 TRUMAN HWY, HYDE PARK, MA 02136-3536
(617) 361-8300
Mailing address
38 OAK KNOLL DR, NORTH ATTLEBORO, MA 02760-6209
(508) 695-6879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6220
MA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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