Individual
MR. JOHNNY LEO BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
40557 BRENDA, NOVI, MI 48375-2803
(248) 767-7667
Mailing address
40557 BRENDA, NOVI, MI 48375-2803
(248) 767-7667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
04/21/2010
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