Individual
TARA LEIGH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
1001 N GRANT ST, LEBANON, IN 46052-1944
(765) 482-6400
Mailing address
6439 WATERCREST WAY, INDIANAPOLIS, IN 46278-1985
(317) 293-1981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004007A
IN
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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