Individual
KAITLYN RAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
64541 VAN DYKE RD, WASHINGTON TWP, MI 48095-2570
(586) 935-1100
(586) 935-1101
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006375
MI
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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