Individual
CHRISTINA LEE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
Mailing address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7228-27
WI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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