Individual
MR. BENJAMIN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9140 BELVOIR WOODS PKWY, FT BELVOIR, VA 22060-2703
(703) 799-1200
Mailing address
9140 BELVOIR WOODS PKWY, FT BELVOIR, VA 22060-2703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001410
VA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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