Provider Demographics
NPI:1588633069
Name:RAY, JULIA ANN (RPT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:RAY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:WOMACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 S PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3651
Mailing Address - Country:US
Mailing Address - Phone:405-780-9919
Mailing Address - Fax:405-780-9920
Practice Address - Street 1:215 S PERKINS RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3651
Practice Address - Country:US
Practice Address - Phone:405-780-9919
Practice Address - Fax:405-780-9920
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3532225100000X, 2251N0400X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic