Individual
JULIE ANNE RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 HORSESHOE BAY CT, MIDLOTHIAN, VA 23114-3241
(315) 276-1005
Mailing address
12610 HORSESHOE BAY CT, MIDLOTHIAN, VA 23114-3241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602098
VA
Other
Enumeration date
09/27/2009
Last updated
09/27/2009
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