Raphael Bolanos
Raphael Bolanos is a Physical Therapist in New York, New York. Licensed in New Jersey. Registered with an NPI since 2011.
- Licensed in
- NJ
- In the registry since
- 2011
Practice location Address checks out
315 5th Ave Ste 806New York, NY 10016-6510
Phone: (212) 686-8881
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA01382600 (NJ) |
|---|
Record details
| NPI number | 1225323629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2011 |
| Last updated in NPPES | June 14, 2011 |
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