Individual
LISA WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 AURORA AVE STE 500W-30, URBANDALE, IA 50322-2800
(515) 868-4937
Mailing address
11590 NW 107TH CT, GRANGER, IA 50109-9701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00467
IA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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