Individual
MS. JOHANNA MARIA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 N HURSTBOURNE PKWY, STE. 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
4980 NORTH MAIN ST, APT. 802, FALL RIVER, MA 02720-2044
(774) 929-5879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3360
MA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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