Individual
MRS. TINA HORN RAINES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BRAEBURN DR, SALEM, VA 24153-7304
(540) 774-8500
(540) 774-8310
Mailing address
PO BOX 184, NEW CASTLE, VA 24127-0184
(540) 864-7978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000946
VA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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