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Individual

JOSHUA P RAYBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ORT/L

Contact information

Practice address
1587 MYRTLE AVE, EUREKA, CA 95501-1453
(707) 441-1931
(707) 441-1940
Mailing address
1587 MYRTLE AVE, EUREKA, CA 95501-1453
(707) 441-1931
(707) 441-1940

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22623
CA

Other

Enumeration date
07/27/2021
Last updated
07/27/2021
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