Individual
RENEE DENISE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1975 W ELK AVE, SUITE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Mailing address
1975 W ELK AVE, SUITE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2659
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831109867
NPI
TN
Enumeration date
07/11/2016
Last updated
07/11/2016
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