Individual
MICHELLE LYNN RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
620 TOM HUNTER RD, CHARLOTTE, NC 28213-5511
(704) 598-5136
Mailing address
1726 FOREST SIDE LN, CHARLOTTE, NC 28213-2104
(704) 877-1901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5681
NC
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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