Provider Demographics
NPI:1891789137
Name:CHRONISTER, RAYMOND DONALD (ATC)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:DONALD
Last Name:CHRONISTER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1269 DOUBLEDAY DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2356
Mailing Address - Country:US
Mailing Address - Phone:410-757-3725
Mailing Address - Fax:
Practice Address - Street 1:PHYSICAL EDUCATION, FIELD HOUSE,
Practice Address - Street 2:U. S. NAVAL ACADEMY
Practice Address - City:ANNAPOLIS,
Practice Address - State:MD
Practice Address - Zip Code:21402
Practice Address - Country:US
Practice Address - Phone:410-293-4486
Practice Address - Fax:410-268-6814
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer