Individual
RONCHELLA EVANGALINA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22422 BUCKTROUT LN, KATY, TX 77449-2905
(832) 525-5710
Mailing address
22422 BUCKTROUT LN, KATY, TX 77449-2905
(832) 525-5710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211141
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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