Individual
MRS. GRESHUNDRIA MANIK RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
915 S JACKSON ST, ASU, DEPARTMENT OF OCCUPATIONAL THERAPY, MONTGOMERY, AL 36104-5732
(334) 229-5602
Mailing address
PO BOX 240243, MONTGOMERY, AL 36124-0243
(334) 514-4953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1848
AL
Other
Enumeration date
05/20/2006
Last updated
07/16/2007
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