Provider Demographics
NPI:1497804462
Name:FARMER-RAYMOND, DORIS (OTR-L)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:
Last Name:FARMER-RAYMOND
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:976 SEBRING AVE
Mailing Address - Street 2:
Mailing Address - City:PINE CITY
Mailing Address - State:NY
Mailing Address - Zip Code:14871-9247
Mailing Address - Country:US
Mailing Address - Phone:607-742-9682
Mailing Address - Fax:607-732-1595
Practice Address - Street 1:976 SEBRING AVE
Practice Address - Street 2:
Practice Address - City:PINE CITY
Practice Address - State:NY
Practice Address - Zip Code:14871-9247
Practice Address - Country:US
Practice Address - Phone:607-742-9682
Practice Address - Fax:607-732-1595
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011777-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist