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CAROLYN RENNE TOLLIVER

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1730311523

Individual Registrant:
 CAROLYN RENNE TOLLIVER 
Gender: F
Sole Proprietor

Location and contact information for practice:
285 MALLARD COVE ROAD  MONETA, VA 24121 US
Tel: 540-238-9170  Fax: --

Contact information for business:
285 MALLARD COVE RD  MONETA, VA 24121-2362 US
Tel: 540-238-9170  Fax: --

Registration Information:
NPI: 1730311523
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
VA2306601535

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS VA - Page 1

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