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Individual
MR. RAYMOND A BELISLE
Active
Individual
MR. RAYMOND A BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06525R
LA
225100000X
Physical Therapist
Primary
PT4978
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI
MS
Enumeration date
05/11/2006
Last updated
01/11/2012
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