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MR. RAYMOND NEIL WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(214) 414-2888
Mailing address
6060 N CENTRAL EXPY, SUITE 460, DALLAS, TX 75206-5209
(214) 414-2888

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12051
FL

Other

Enumeration date
03/01/2012
Last updated
03/01/2012
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