Individual
MRS. KIMBERLY RENEE RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 241-3660
Mailing address
15485 BIRCHDALE CIR, MONROE, MI 48161-4548
(734) 497-7436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010711
MI
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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