Individual
RITA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34505 W 12 MILE RD STE 100, FARMINGTON HILLS, MI 48331-3287
(734) 343-7518
Mailing address
144 ALLEN LAKE DR, WHITE LAKE, MI 48386-2402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508823774
—
MI
Enumeration date
12/09/2018
Last updated
12/09/2018
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