Individual
RAY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11218 18TH AVE S, APT. G-101, TACOMA, WA 98444-1460
(785) 230-6470
Mailing address
11218 18TH AVE S, APT. G-101, TACOMA, WA 98444-1460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000654
WA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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