MICHAEL JAMES RAVEN

RICHMOND, VA
NPI1992216832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604708)
Enumeration Date2017-10-18
Last Update Date2017-10-31
Business Address
Mr. MICHAEL JAMES RAVEN LPTA
7246 FOREST HILL AVE
RICHMOND, VA 23225-1524
Phone number: 804-320-7901
Mailing Address
Mr. MICHAEL JAMES RAVEN LPTA
9506 BENT WOOD LN
NORTH CHESTERFIELD, VA 23237-3262
Phone number: 315-854-0547
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