NPI 1093415333

Trevor Ryan Ray, COTAL

Practitioner Occupational Therapy Assistant Winter Haven, FL

Practice location

Address: 400 North Lake Howard Drive, Winter Haven, FL 33881
Phone: (863) 875-3599
Mailing address: 470 Citi Ctr St # 1220, Winter Haven, FL 33880-3425

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 19228 (FL)

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Registry record

NPI: 1093415333
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2023
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.