Individual
RAY ALEXANDER BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6460 N COSBY AVE, KANSAS CITY, MO 64151-2301
(816) 743-4259
Mailing address
6460 N COSBY AVE, KANSAS CITY, MO 64151-2301
(816) 743-4259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016019187
MO
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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