Individual
RAYMOND WISEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
100 NORMAN DR, CRANBERRY TWP, PA 16066-4229
(724) 776-8596
Mailing address
696 BROOKSHIRE DR, PITTSBURGH, PA 15237-4102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002338L
PA
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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