Individual
IAN RAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
101 N PLAINS INDUSTRIAL RD STE 100, WALLINGFORD, CT 06492-5827
(203) 265-0018
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14701
CT
Other
Enumeration date
08/21/2024
Last updated
11/11/2024
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