Individual
MATTHEW ANTHONY KIM RARANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(175) 746-1500
Mailing address
924 SOUTHMOOR DR UNIT 103, VIRGINIA BEACH, VA 23455-3768
(831) 595-8120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606708
VA
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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