Provider Demographics
NPI:1730480476
Name:RAYMOND-BURNS, ELAINE J (RPT)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:J
Last Name:RAYMOND-BURNS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WARE RD
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-1126
Mailing Address - Country:US
Mailing Address - Phone:860-774-8574
Mailing Address - Fax:860-779-5425
Practice Address - Street 1:150 WARE RD
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-1126
Practice Address - Country:US
Practice Address - Phone:860-774-8574
Practice Address - Fax:860-779-5425
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist