Individual
MS. LAURIE RAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6303 STEARMAN RD, ROUGEMONT, NC 27572-8017
(919) 636-1827
Mailing address
6303 STEARMAN RD, ROUGEMONT, NC 27572-8017
(919) 636-1827
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211001
—
NC
Enumeration date
05/11/2006
Last updated
07/09/2007
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