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Individual

MR. RAINIER RATILLA ALBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1920 OLD SPRINGVILLE RD, SUITE 104, BIRMINGHAM, AL 35215-5858
(908) 456-5492
Mailing address
1920 OLD SPRINGVILLE RD, SUITE 104, BIRMINGHAM, AL 35215-5858
(908) 456-5492

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04425
IA
225100000X
Physical Therapist
05009918A
IN
225100000X
Physical Therapist
Primary
070017102
IL
225100000X
Physical Therapist
3688
NM

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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