Individual
SONYA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 S LAFAYETTE ST, SOUTH LYON, MI 48178-1407
(248) 486-1110
(248) 486-3318
Mailing address
301 S LAFAYETTE ST, SOUTH LYON, MI 48178-1407
(248) 486-1110
(248) 486-3318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30394
BCBS OF MICHIGAN
MI
Enumeration date
09/04/2008
Last updated
09/04/2008
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