CHARLES JUSTIN BRAY

BOSSIER CITY, LA
NPI1750738977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA.200266)
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
-- CHARLES JUSTIN BRAY COTA/L
544 RUGBY PL
BOSSIER CITY, LA 71111-4816
Phone number: 318-455-0279
Mailing Address
-- CHARLES JUSTIN BRAY COTA/L
544 RUGBY PL
BOSSIER CITY, LA 71111-4816
Phone number:
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