Individual
LORI ANNE RAHAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
125 ROUTE 340, SPARKILL, NY 10976-1041
(845) 304-3177
(845) 398-4071
Mailing address
125 ROUTE 340, SPARKILL, NY 10976-1041
(845) 304-3177
(845) 398-4071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001212-1
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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