Provider Demographics
NPI:1073699575
Name:RAY, DENISE OVERCASH (MPT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:OVERCASH
Last Name:RAY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:LYNETTE
Other - Last Name:OVERCASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10107 TREETOP LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:889 SHERWOOD LN
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4183
Practice Address - Country:US
Practice Address - Phone:704-881-0088
Practice Address - Fax:704-881-0087
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7586225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist