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1770910838
KENNETH EDWARD RASNAKE
WOODSTOCK, VA
NPI
1770910838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603671)
Enumeration Date
2013-10-03
Last Update Date
2013-10-03
Business Address
-- KENNETH EDWARD RASNAKE LPTA
803 S MAIN ST
WOODSTOCK, VA 22664-1125
Phone number: 540-459-5676
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Mailing Address
-- KENNETH EDWARD RASNAKE LPTA
1548 ROBINDALE RD
NORTH CHESTERFIELD, VA 23235-4534
Phone number: 804-514-2633
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