Individual
LISA MICHELE RAYMOND-TOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
532 COURT ST, BROOKLYN, NY 11231-3986
(718) 254-0800
Mailing address
362 15TH ST, APT 1R, BROOKLYN, NY 11215-5680
(646) 932-1989
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014994-1
NY
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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