Individual
RAYMOND LOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
273 OAKPOINTE DRIVE, FORT ASHBY, WV 26719-1557
(304) 790-2468
Mailing address
PO BOX 1557, FORT ASHBY, WV 26719-1557
(304) 790-2468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300
WV
Other
Enumeration date
01/03/2014
Last updated
08/23/2016
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