Individual
DEXTER RAIMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2324 W VILLAGE LN SE, SMYRNA, GA 30080-9308
(678) 382-4779
Mailing address
2324 W VILLAGE LN SE, SMYRNA, GA 30080-9308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001800
GA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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