Individual
MR. RAYMOND MATHEW SIRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6707
Mailing address
2629 COVE TRL, SCHERTZ, TX 78154-2685
(210) 566-2021
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
105204
TX
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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