Individual
DAMARA VIRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23567
MA
225100000X
Physical Therapist
40QA01616900
NJ
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
06/29/2018
Last updated
04/06/2020
Update your record
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