Individual
SHANA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-5600
(870) 845-5605
Mailing address
22 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-5600
(870) 845-5605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A888
AR
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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