Individual
AMY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
118 BROAD ST, SUMTER, SC 29150-4237
(803) 518-9195
Mailing address
1512 CONGAREE RD, HOPKINS, SC 29061-9708
(803) 518-9195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
894
SC
Other
Enumeration date
05/13/2006
Last updated
09/09/2020
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