Provider Demographics
NPI:1881925451
Name:PLONA, RAYMOND PETER JR (PT)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:PETER
Last Name:PLONA
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 PEARL RD
Mailing Address - Street 2:STE 306
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2537
Mailing Address - Country:US
Mailing Address - Phone:440-888-0522
Mailing Address - Fax:
Practice Address - Street 1:5700 PEARL RD
Practice Address - Street 2:STE 306
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2537
Practice Address - Country:US
Practice Address - Phone:440-888-0522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0025592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic