Provider Demographics
NPI:1346573318
Name:RABY, CATHARINE NIBLACK (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:NIBLACK
Last Name:RABY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CATHARINE
Other - Middle Name:FRANCES
Other - Last Name:NIBLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12359 SUNRISE VALLEY DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3462
Mailing Address - Country:US
Mailing Address - Phone:703-476-8700
Mailing Address - Fax:703-476-1825
Practice Address - Street 1:12359 SUNRISE VALLEY DR
Practice Address - Street 2:SUITE 140
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3462
Practice Address - Country:US
Practice Address - Phone:703-476-8700
Practice Address - Fax:703-476-1825
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor