Provider Demographics
NPI:1992312649
Name:RAIMONDI, JULIANA (OTR)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:RAIMONDI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E ROMANA ST APT 459
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5866
Mailing Address - Country:US
Mailing Address - Phone:630-276-3349
Mailing Address - Fax:
Practice Address - Street 1:9310 FOWLER AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1852
Practice Address - Country:US
Practice Address - Phone:630-276-3349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist