Individual
MRS. DONNA GERALYN RANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6306 BRIDGEVISTA DR, PREMIER OCCUPATIONAL THERAPY SERVICES, LLC, LITHIA, FL 33547-4871
(813) 326-5194
Mailing address
6306 BRIDGEVISTA DR, PREMIER OCCUPATIONAL THERAPY SERVICES, LLC, LITHIA, FL 33547-4871
(813) 326-5194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355651
WELLCARE
FL
05
—
889982000
—
FL
01
—
Z072V
BCBS
FL
Enumeration date
01/09/2007
Last updated
01/15/2015
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