Individual
MR. JONATHAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 N HEARTHSIDE LN, TUCSON, AZ 85748-3802
(520) 445-5930
Mailing address
661 N HEARTHSIDE LN, TUCSON, AZ 85748-3802
(520) 445-5930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046785
AZ
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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