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Organization
MIDLOTHIAN REHABILITATION ASSOCIATES PLLC
Active
Organization
MIDLOTHIAN REHABILITATION ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REDOUANE GOULMAMINE (MANAGER)
(804) 897-3455
Entity
Organization
Contact information
Practice address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(804) 504-8100
Mailing address
513 HETH CT, MIDLOTHIAN, VA 23114-5532
(804) 897-3455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101242555
VA
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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