Provider Demographics
NPI:1003192089
Name:RAY PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:RAY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY ALEXIUS
Authorized Official - Middle Name:PANINSORO
Authorized Official - Last Name:SATINA
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:714-906-8399
Mailing Address - Street 1:388 W TULIP TREE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1091
Mailing Address - Country:US
Mailing Address - Phone:714-906-8399
Mailing Address - Fax:
Practice Address - Street 1:388 W TULIP TREE AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-1091
Practice Address - Country:US
Practice Address - Phone:714-906-8399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-23
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty