Individual
MICHAEL CIAVOLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7718 KENTUCKY DERBY DRIVE, MIDLOTHIAN, VA 23112
(804) 739-7238
Mailing address
7718 KENTUCKY DERBY DRIVE, MIDLOTHIAN, VA 23112
(804) 739-7238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001104
VA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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