Individual
MRS. LORRAINE CAROL RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
(727) 381-0627
Mailing address
5344 90TH AVENUE CIR E, PARRISH, FL 34219-5423
(727) 433-0317
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA322
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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