Individual
SCOTT WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201008637
MI
363AS0400X
Surgical Physician Assistant
Primary
5601008661
—
Other
Enumeration date
02/20/2018
Last updated
01/02/2023
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