Individual
SAMANTHA WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24463 W 10 MILE RD, SOUTHFIELD, MI 48033-2931
(248) 556-9156
Mailing address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007955
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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