Individual
RAVEN CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
13377 WARWICK SPRINGS DR, NEWPORT NEWS, VA 23602-5876
(703) 587-3945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604998
VA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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