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MS. LINDSEY JANAE BRAY ATC
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1972013498
Individual Registrant:MS. LINDSEY JANAE BRAY ATC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
370 AUTUMN RIDGE TRL GRAY, GA 31032-6363 US
Tel: 478-986-1844 Fax: --
Tel: 478-986-1844 Fax: --
Contact information for business:
370 AUTUMN RIDGE TRL GRAY, GA 31032-6363 US
Tel: 478-986-1844 Fax: --
Tel: 478-986-1844 Fax: --
Registration Information:
NPI: 1972013498
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | GA | AT00341 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
