MR. Allan Z Raymundo

NPI #1477704930 in Lake Grove, New York

Provider Information

NPI Number: 1477704930
Entity Type: Individual
Name: MR. Allan Z Raymundo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2008
Last Updated: Oct 2, 2008

Practice Location

Address: 2 LAKE LN
City: Lake Grove
State: New York
ZIP Code: 11755-2463
Phone: (163) 142-8705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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