Individual
MS. KESHIA BEE RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
29488 ASHLAND AVE, HARRISON TOWNSHIP, MI 48045-2274
(773) 495-5286
Mailing address
29488 ASHLAND AVE, HARRISON TOWNSHIP, MI 48045-2274
(773) 495-5286
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
51741
IL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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