Individual
RICHARD JAMES RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
530 THORNTON RD # 210, LITHIA SPRINGS, GA 30122-4120
(404) 855-2141
Mailing address
811 JUNIPER ST NE APT 1520, ATLANTA, GA 30308-2162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004107
GA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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