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Individual

JOHN RAINEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPED

Contact information

Practice address
3100 DURALEIGH RD STE 207, RALEIGH, NC 27612-8106
(984) 200-7950
(984) 200-8370
Mailing address
3100 DURALEIGH RD STE 207, RALEIGH, NC 27612-8106
(984) 200-7950
(984) 200-8370

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED4184
VA
225000000X
Orthotic Fitter
CFO04357
VA
225000000X
Orthotic Fitter
NC

Other

Enumeration date
10/07/2021
Last updated
03/10/2022
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