Individual
JUDY BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 EAST JACKSON DRIVE, INDEPENDENCE, MO 64057
(816) 478-5605
Mailing address
3980 E JACKSON DR, INDEPENDENCE, MO 64057-2205
(816) 478-5605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000137
MO
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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