Individual
HOLLY JEAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1300 EGG HARBOR RD STE 152, STURGEON BAY, WI 54235-1248
(920) 746-0410
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10648
WI
2255A2300X
Athletic Trainer
769-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36118100
—
WI
Enumeration date
09/27/2006
Last updated
09/09/2024
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