Individual
MR. RASEAN HUNTERGREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1725 LASKIN RD, STE 535, VIRGINIA BEACH, VA 23454-4558
(757) 333-7000
Mailing address
PO BOX 354, VIRGINIA BEACH, VA 23458-0354
(757) 581-5446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001377
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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