Individual
SELENA MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTRL
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467348
NBCOT CERTIFICATION
—
01
—
5201012764
STATE OF MICHIGAN
MI
Enumeration date
06/17/2022
Last updated
06/17/2022
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