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Individual

MR. JOEY RAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DIRECTOR

Contact information

Practice address
1425 BROAD ST STE 4, CLIFTON, NJ 07013-4201
(973) 744-7774
(866) 621-5272
Mailing address
13874 BENTLY CIR, FORT MYERS, FL 33912-1987
(973) 744-7774
(866) 621-5272

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225700000X
Massage Therapist
18KT00636900
NJ

Other

Enumeration date
07/07/2006
Last updated
12/04/2019
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