Individual
STEPHANIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 FAIRFIELD LOOP RD, CROWNSVILLE, MD 21032
(410) 923-6820
Mailing address
2911 BRISTOL CHANNEL CT, PASADENA, MD 21122-6315
(443) 600-6598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06921
MD
Other
Enumeration date
06/19/2012
Last updated
03/20/2019
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