Individual
MISS JEAN ELIZABETH RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 WILDWOOD DR, GREENVILLE, MS 38701-7458
(662) 820-7291
Mailing address
608 WILDWOOD DR, GREENVILLE, MS 38701-7458
(662) 820-7291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12274
FL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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