Provider Demographics
NPI:1922632132
Name:RAY, CIARA R (OT)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:R
Last Name:RAY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:R
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4700 POINT FOSDICK DR # 318
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1706
Mailing Address - Country:US
Mailing Address - Phone:253-530-8330
Mailing Address - Fax:
Practice Address - Street 1:4700 POINT FOSDICK DR # 318
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1706
Practice Address - Country:US
Practice Address - Phone:253-530-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61036432225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist