Individual
GLENDA RAPTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5372B OLD VIRGINIA STREET, URBANNA, VA 23175
(757) 539-6300
(757) 539-0704
Mailing address
P.O. BOX 40, SALUDA, VA 23149
(804) 758-5250
(804) 758-5183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979796
—
VA
05
—
49-7813-7
—
VA
Enumeration date
09/11/2009
Last updated
06/30/2011
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