National Provider Identifier

Susan Raymond, OTR/L

Susan Raymond, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Ithaca, NY and a listed phone number of (607) 272-5891.

NPI 1376717074Ithaca, NYPediatric Occupational Therapist

Profile Overview

NPI
1376717074
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
April 15, 2008
Last Updated
December 15, 2011

Practice Location

  • 3226 Wilkins RD
  • Ithaca, NY 14850-9568

Phone: (607) 272-5891

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1376717074
Entity Type
Individual
Last Name
Raymond
First Name
Susan
Credential
OTR/L
Mailing Street Address
3226 Wilkins RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9568
Mailing Country
US
Mailing Phone
(607) 272-5891
Mailing Fax
(607) 272-0188
Practice Street Address
3226 Wilkins RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9568
Practice Country
US
Practice Phone
(607) 272-5891
Practice Fax
(607) 272-0188
Enumeration Date
April 15, 2008
Last Updated
December 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X), Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
015772 (NY, Ot License)