Individual
LINDSEY NICOLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1129 NIDO LN, APARTMENT 2, FENTON, MO 63026-3781
(314) 566-7008
Mailing address
1129 NIDO LN, APARTMENT 2, FENTON, MO 63026-3781
(314) 566-7008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003648
IL
224Z00000X
Occupational Therapy Assistant
Primary
2012026427
MO
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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