Individual
MS. REBECCA LYNN RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5900
(203) 679-6459
Mailing address
PO BOX 70, WALLINGFORD, CT 06492-7001
(203) 679-5900
(203) 679-6459
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
283X00000X
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT001932
OT LICENSE
CT
Enumeration date
12/05/2008
Last updated
12/05/2008
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