Individual
MR. JUSTIN S BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T
Contact information
Practice address
100 LONDON MOUNTAIN VIEW DR, SUITE 400, LONDON, KY 40741-6601
(606) 330-0513
(606) 330-0516
Mailing address
PO BOX 241686, MONTGOMERY, AL 36124-1686
(334) 396-3273
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5014
KY
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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