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Individual
RALEIGH B CLOUGH
Active
Individual
RALEIGH B CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2909
OR
2251N0400X
Neurology Physical Therapist
2909
OR
2251X0800X
Orthopedic Physical Therapist
2909
OR
Other
Enumeration date
11/07/2006
Last updated
12/01/2009
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