Individual
NADINE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8673
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT13611
CA
225XH1200X
Hand Occupational Therapist
Primary
13611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT13611
LICENSE
CA
Enumeration date
11/05/2014
Last updated
02/20/2024
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