# MIDLOTHIAN REHABILITATION ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477846640
- **Authorized official:** REDOUANE GOULMAMINE (MANAGER)
- **Authorized official phone:** (804) 897-3455

## Contact information

- **Practice address:** 95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
- **Practice address phone:** (804) 504-8100
- **Mailing address:** 513 HETH CT, MIDLOTHIAN, VA 23114-5532
- **Mailing address phone:** (804) 897-3455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101242555 | VA | Yes |

## Other

- **Enumeration date:** 05/22/2011
- **Last updated:** 05/22/2011