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Individual

MRS. NIA RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
10009 N PAWNEE AVE, TAMPA, FL 33617-3935
(813) 785-4357
Mailing address
10009 N PAWNEE AVE, TAMPA, FL 33617-3935
(813) 785-4357

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14982
FL

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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