Individual
TERESA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
831 W INDIANOLA AVE, PHOENIX, AZ 85013-3338
(602) 430-2817
(602) 277-4799
Mailing address
PO BOX 36296, PHOENIX, AZ 85067-6296
(602) 430-2817
(602) 277-4799
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
544
AZ
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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