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Individual

LISA M RAIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
690 W GERMAN ST, HERKIMER, NY 13350-2135
(315) 866-3330
(315) 866-6546
Mailing address
690 W GERMAN ST, HERKIMER, NY 13350-2135
(315) 866-3330
(315) 866-6546

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0036001
NY

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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