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Individual

RAYMOND FRANCIS MATTFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T., A.T.C

Contact information

Practice address
160 ORINOCO DR, BRIGHTWATERS, NY 11718-1307
(631) 665-9056
(631) 665-9058
Mailing address
160 ORINOCO DR, BRIGHTWATERS, NY 11718-1307
(631) 665-9056
(631) 665-9058

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
012480-1
NY
2255A2300X
Athletic Trainer
000707-1
NY

Other

Enumeration date
01/29/2007
Last updated
02/14/2008
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