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Individual
CHARLES E RAINEY
Active
Individual
CHARLES E RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009019317
MO
2251E1300X
Clinical Electrophysiology Physical Therapist
2009019317
MO
2251S0007X
Sports Physical Therapist
2009019317
MO
2251X0800X
Orthopedic Physical Therapist
2009019317
MO
Other
Enumeration date
06/17/2013
Last updated
03/26/2015
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