Sarah Jean Wray in Green Bay - Physical Therapy Assistant

Sarah Jean Wray - NPI 1417120924

Sarah Jean Wray is a Physical Therapy Assistant in Green Bay, Wisconsin. Sarah Jean Wray practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Sarah Jean Wray is 1417120924. The last update date is 2012-09-11.

Sarah Jean Wray's current location address is 2961 Saint Anthony Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9209839298 and fax number 9204683087. The mailing address for Sarah Jean Wray is 2961 Saint Anthony Dr, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Sarah Jean Wray
Address 2961 Saint Anthony Dr, Green Bay, Wisconsin
Phone Number 9209839298
Fax Number 9204683087
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1417120924
Provider Enumeration Date 2008-04-04
Last Updated Date 2012-09-11

Provider Mailing Address Detail

Address 2961 Saint Anthony Dr
City Green Bay
State Wisconsin (WI)
Post Code 543115860
Phone Number 9209839298
Fax Number 9204683087

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 514-19
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40456700 WI --

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FAQs about Sarah Jean Wray

What is the unique 10-digit identifier code assigned to Sarah Jean Wray by the Centers for Medicare & Medicaid Services?

The Sarah Jean Wray has been issued the NPI (National Provider Identifier) 1417120924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Sarah Jean Wray's physical address?

The Sarah Jean Wray is physically located at 2961 Saint Anthony Dr, in the city of Green Bay, WI, with the postal code 543115860.

What is the Sarah Jean Wray's area of specialization and corresponding taxonomy classification?

The Sarah Jean Wray's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417120924 to Sarah Jean Wray?

The Centers for Medicare & Medicaid Services originally issued the 1417120924 to Sarah Jean Wray on 2008-04-04.

As of what date was the information pertaining to Sarah Jean Wray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sarah Jean Wray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-11.

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