| NPI | 1205560372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA CILIO-RHEA Speech Language Pathologist 757-469-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225X00000X Occupational Therapist | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |