Individual
MR. RAYMOND JOHN HANLON III
Active
Individual
MR. RAYMOND JOHN HANLON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,PT/LATC
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399434
—
MA
Enumeration date
10/25/2005
Last updated
10/01/2010
Update your record
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