Individual
RAYMOND CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 COTTEN RD, GREENVILLE, NC 27858-4714
(252) 412-0964
Mailing address
1301 COTTEN RD, GREENVILLE, NC 27858-4714
(252) 412-0964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016196
NY
225X00000X
Occupational Therapist
6656
NC
225X00000X
Occupational Therapist
Primary
OT 13861
FL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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