Individual
KELSEY WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 LAUDERDALE DR, RICHMOND, VA 23238-3933
(804) 521-9100
Mailing address
6005 GLEN ABBEY DR, GLEN ALLEN, VA 23059-5367
(804) 380-1509
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002599
VA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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