Individual
ALICIA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
622 ABERDEEN AVE, JORDAN, MN 55352-9516
(952) 492-2220
(952) 492-2073
Mailing address
805 HICKORY PL, JORDAN, MN 55352-1858
(612) 889-0209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6627
MN
Other
Enumeration date
02/28/2007
Last updated
04/11/2023
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