Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2305211359 | VA |
Y | 213ES0000X | Sports Medicine | 2305211359 | VA |
NPI | 1558885780 |
---|---|
Provider Name | Caitlin R Ratino |
First Address | Falls Church, VA 22046-4226 |
Second Address | Falls Church, VA 22046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2017 |
Last Update Date | 31/07/2017 |