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Raina Adrienne Bolander, LPTA

Physical Therapy Assistant in Virginia Beach, VA. Individual provider (NPI-1).

NPI number1609019355
StatusActive
Last updated in NPPESApr 10, 2009

Details

NPI
1609019355
Entity type
Individual (NPI-1)
Name
Raina Adrienne Bolander
Credential
LPTA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2009
Last updated
Apr 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306602043VAYes

Practice location

3100 Shore Dr
Virginia Beach, VA 23451-1199

Phone 800-349-1722

Mailing address

307 Osprey St
Virginia Beach, VA 23462-1845

Phone 757-343-3739

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