Doctor Name: | MR. JONATHAN MEAD RAYMOND |
NPI Number: | 1023095890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 16650 |
Business Practice Address: | 635 Commonwealth Ave Boston, MA - 022151605 |
Business Phone Number: | 6173583700 |
Business Fax Number: | 6173583710 |
Mailing Address: | 635 Commonwealth Ave, BOSTON |
State: | MA |
Postal Code: | 022151605 |
Phone Number: | 6173583700 |
Fax Number: | 6173583710 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |