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1225570179
HOLLY BALSAMO
VIRGINIA BEACH, VA
NPI
1225570179
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Former Name
HOLLY GIAMBERTONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001666)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- HOLLY BALSAMO COTA
5345 MARIAN LANE
VIRGINIA BEACH, VA 23462
Phone number: 757-456-5018
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Mailing Address
-- HOLLY BALSAMO COTA
1957 GRANDON LOOP RD.
VIRGINIA BEACH, VA 23456-8089
Phone number: 973-610-5422
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