Individual
MR. RAYMOND A BARSALOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
558 CAPISTRANO CT, LARGO, FL 33771-2760
(727) 398-6661
(727) 398-9440
Mailing address
558 CAPISTRANO CT, LARGO, FL 33771-2760
(727) 538-9892
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
OT 5653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 5653
FL STATE LICENSE NO.
FL
Enumeration date
09/28/2006
Last updated
07/08/2007
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