Provider Demographics
NPI:1154851426
Name:RAY, HILMARI LEROUX
Entity Type:Individual
Prefix:
First Name:HILMARI
Middle Name:LEROUX
Last Name:RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 E RIGGS RD STE 215
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-7755
Mailing Address - Country:US
Mailing Address - Phone:480-304-5510
Mailing Address - Fax:480-664-4223
Practice Address - Street 1:10440 E RIGGS RD STE 215
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7755
Practice Address - Country:US
Practice Address - Phone:480-304-5510
Practice Address - Fax:480-664-4223
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12312PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist