Individual
MR. MICHAEL B RAIMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5370 GALAMBOS ST, NORTH PORT, FL 34291-4745
(941) 525-7708
Mailing address
5370 GALAMBOS ST, NORTH PORT, FL 34291-4745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19951
FL
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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