Individual
JANET RAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 648-8975
Mailing address
7201 RED BUD CIR, FORT SMITH, AR 72916-8955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U622
BCBS
CA
Enumeration date
04/02/2006
Last updated
07/08/2007
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