Provider Demographics
NPI:1780419986
Name:VIRAY, ANN MARIE SALES (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:SALES
Last Name:VIRAY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9499 ASUZA CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-8030
Mailing Address - Country:US
Mailing Address - Phone:951-801-8079
Mailing Address - Fax:
Practice Address - Street 1:9499 AZUSA CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-8030
Practice Address - Country:US
Practice Address - Phone:951-801-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist