Individual
MR. JOHN ROSS RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1114 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-1234
(888) 550-3518
Mailing address
1114 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-1234
(888) 550-3518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000150904
MO
2251G0304X
Geriatric Physical Therapist
2000150904
MO
Other
Enumeration date
05/05/2008
Last updated
05/11/2015
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