Individual
RAINELDA LARIOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
126 E MAIN ST, SUITE C, UNION CITY, TN 38261-3349
(731) 599-9896
(866) 611-9554
Mailing address
126 E MAIN ST, SUITE C, UNION CITY, TN 38261-3349
(731) 599-9896
(866) 611-9554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004747
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0000004747
PHYSICAL THERAPIST LICENSE TENN HEALTH RELATED BOARDS
TN
Enumeration date
09/08/2014
Last updated
09/08/2014
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