Individual
RAINA ADRIENNE BOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(800) 349-1722
Mailing address
307 OSPREY ST, VIRGINIA BEACH, VA 23462-1845
(757) 343-3739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602043
VA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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