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NPI Code Detail

MEDICARE: JENNIFER RAY

MEDICARE: JENNIFER RAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist119030TX

General Provider Information

NPI Number : 1841787272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RAY
Provider Business Mailing Address
First Line : 4840 HAVEN RIDGE RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4306
Country : US
Telephone Number : 214-566-0085
Fax Number :
Provider Business Practice Location Address
First Line : 1001 RAINTREE CIR
Second Line :
City : ALLEN
State : TX
Zip : 75013-4912
Country : US
Telephone Number : 972-908-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 10/09/2019

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Directions to “ JENNIFER RAY ” Practice Location

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