Individual
EMMA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1620 HIGHWAY 11 N STE C, PICAYUNE, MS 39466-2070
(769) 242-2139
Mailing address
10099 WILLOW LEAF DR, GULFPORT, MS 39503-2994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4186
MS
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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