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Individual

MOLLY RAYMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 HEATHER CT, CHAPEL HILL, NC 27517-2515
(919) 260-3961
Mailing address
6 HEATHER CT, CHAPEL HILL, NC 27517-2515
(919) 260-3961

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4218
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7301948
NC
Enumeration date
11/23/2006
Last updated
08/13/2013
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