Individual
NICOLE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
102 REDBIRD DR, CHESTER, VA 23836-2656
(302) 270-9154
(877) 736-7647
Mailing address
102 REDBIRD DR, CHESTER, VA 23836-2656
(302) 270-9154
(877) 736-7647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005113
VA
Other
Enumeration date
08/23/2010
Last updated
02/05/2022
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