Individual
RACHELLE LYNN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845-8792
(260) 471-4770
Mailing address
10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845-8792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003244A
IN
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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