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Individual
RAYMOND BENITO MORALES
Active
Individual
RAYMOND BENITO MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23040
MARYLAND BOARD OF PHYSICAL THERAPY
MD
Enumeration date
02/12/2020
Last updated
02/12/2020
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