Ray, Sandra
Ray, Sandra is an individual health care provider with primary practice located at 719 S Rogers St , Bloomington IN 47403-2335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ray, Sandra can be contacted via phone (812) 323-4475.Contact Information
Primary practice address
719 S Rogers St
Bloomington IN 47403-2335
Phone: (812) 323-4475
Fax: (812) 323-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05006736A | Indiana |
Profile Details
| NPI number | 1194722488 |
|---|---|
| LBN Legal business name | Ray, Sandra |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Sep 26th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194722488 | NPPES |
| Indiana | MEDICAID | 200488010 |
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