Individual
JOHNNY P RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(850) 482-0080
(850) 482-0082
Mailing address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(850) 482-0080
(850) 482-0082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23097
FL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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