Healthcare Provider Details

I. General information

NPI: 1720362858
Provider Name (Legal Business Name): MORANO REHAB AND STAFFING CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 DEER RIDGE CT
CHESAPEAKE VA
23322-9520
US

IV. Provider business mailing address

701 DEER RIDGE CT
CHESAPEAKE VA
23322-9520
US

V. Phone/Fax

Practice location:
  • Phone: 757-375-4392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALERIE RIVERA
Title or Position: VICE PRESIDENT
Credential:
Phone: 757-375-0255