Individual
NICOLE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 LIVINGSTON ST, SUITE 306, BROOKLYN, NY 11201-5861
(718) 522-1468
Mailing address
1096 DEAN ST, APT B, BROOKLYN, NY 11216-5814
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014176-1
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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