SearchVirginiaSpeech-Language Pathologist

Gabrielle Defazio

NPI 1073161659 · on the registry since 2019

Practice

Address
44 Broad Street Rd
Manakin Sabot, VA 23103
Phone
(804) 784-7090
Fax
(804) 784-7090
Organisation at this address
Tidewater Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Sex
Male
Record last updated
2019-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia