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NPI Code Detail

MEDICARE: RINALDO KOLA

MEDICARE: RINALDO KOLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1033785324
Entity Type Code : Individual
Provider Name (Legal Business Name) : RINALDO KOLA
Provider Business Mailing Address
First Line : 4103 CAROLINA LILY ST
Second Line :
City : CARY
State : NC
Zip : 27519-6712
Country : US
Telephone Number : 727-278-0420
Fax Number :
Provider Business Practice Location Address
First Line : 10810 SANDY OAK LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8386
Country : US
Telephone Number : 919-848-2088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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Directions to “ RINALDO KOLA ” Practice Location

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