Individual
KEVIN RABAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14535 JOHN MARSHALL HWY, SUITE 203, GAINESVILLE, VA 20155-4023
(703) 753-0974
(703) 753-9709
Mailing address
14535 JOHN MARSHALL HWY, SUITE 203, GAINESVILLE, VA 20155-4023
(703) 753-0974
(703) 753-9709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602483
VA
Other
Enumeration date
11/18/2009
Last updated
11/13/2015
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