HOLLY BALSAMO

VIRGINIA BEACH, VA
NPI1225570179
Former NameHOLLY GIAMBERTONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001666)
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
HOLLY BALSAMO COTA
5345 MARIAN LANE
VIRGINIA BEACH, VA 23462
Phone number: 757-456-5018
Mailing Address
HOLLY BALSAMO COTA
1957 GRANDON LOOP RD.
VIRGINIA BEACH, VA 23456-8089
Phone number: 973-610-5422