Provider Demographics
NPI:1033785324
Name:KOLA, RINALDO
Entity Type:Individual
Prefix:
First Name:RINALDO
Middle Name:
Last Name:KOLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 CAROLINA LILY ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6712
Mailing Address - Country:US
Mailing Address - Phone:727-278-0420
Mailing Address - Fax:
Practice Address - Street 1:10810 SANDY OAK LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8386
Practice Address - Country:US
Practice Address - Phone:919-848-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant