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Individual

RAYMOND PRANADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 MISTY CV, SAVOY, IL 61874-9598
(217) 979-7251
Mailing address
103 MISTY CV, SAVOY, IL 61874-9598
(217) 979-7251

Taxonomy

Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
070016146
IL
2251G0304X
Geriatric Physical Therapist
Primary
070016146
IL
2251X0800X
Orthopedic Physical Therapist
070016146
IL

Other

Enumeration date
05/14/2012
Last updated
05/14/2012
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