Individual
RAYMOND FELIMON FLANCIA RECIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25072 NORTHWESTERN PIKE, ROMNEY, WV 26757-5039
(304) 822-2177
Mailing address
718 CHESTNUT ST, HAGERSTOWN, MD 21740-6303
(240) 825-7710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07830
MD
225X00000X
Occupational Therapist
Primary
1995
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321744
MEDICARE PTAN
MD
05
—
437404500
—
MD
Enumeration date
09/28/2016
Last updated
07/12/2022
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