Individual
LYNETTE DOUGAN-RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 38TH ST NW, CANTON, OH 44709-2312
(330) 492-8136
Mailing address
6205 LAKE CABLE AVE NW, CANTON, OH 44718-1233
(330) 354-1119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2434
OH
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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