Individual
SHELBY MOORE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
(601) 212-0870
Mailing address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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