Individual
LISA S RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184654659
—
VA
Enumeration date
07/03/2006
Last updated
09/16/2020
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