Provider Demographics
NPI:1811096290
Name:RAY, ROBERT HAROLD (MS,RKT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HAROLD
Last Name:RAY
Suffix:
Gender:M
Credentials:MS,RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1050 STARKEY RD APT 2407
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-5445
Mailing Address - Country:US
Mailing Address - Phone:727-518-8006
Mailing Address - Fax:
Practice Address - Street 1:BAY PINES VAHS 10000 BAY PINES BLVD
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist