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Individual

TRAVIS J RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 E FRONT AVE, STOCKTON, IL 61085-1444
(815) 947-2215
Mailing address
1212 2ND AVE, FULTON, IL 61252-1003
(563) 613-2179

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006455
IL

Other

Enumeration date
04/01/2019
Last updated
04/02/2019
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