Healthcare Provider Details

I. General information

NPI: 1881925451
Provider Name (Legal Business Name): RAYMOND PETER PLONA JR. PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 PEARL RD STE 306
PARMA OH
44129-2537
US

IV. Provider business mailing address

5700 PEARL RD STE 306
PARMA OH
44129-2537
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-0522
  • Fax:
Mailing address:
  • Phone: 440-888-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number002559
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: