Individual
MR. ROBERT RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1023 W MAIN ST, VEVAY, IN 47043-9192
(812) 427-2803
Mailing address
1023 W MAIN ST, VEVAY, IN 47043-9192
(812) 427-2803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004841A
IN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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