Provider Demographics
NPI:1740014596
Name:RAY, HANDLEY DAVIS (OTD)
Entity type:Individual
Prefix:
First Name:HANDLEY
Middle Name:DAVIS
Last Name:RAY
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:380 TERRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:GA
Mailing Address - Zip Code:31816-5843
Mailing Address - Country:US
Mailing Address - Phone:706-975-4737
Mailing Address - Fax:
Practice Address - Street 1:285 SUMMERLIN BLVD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6299
Practice Address - Country:US
Practice Address - Phone:678-990-8918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist