Mary G Bray
Individual provider Active NPI Occupational Therapy Assistant · Milbank, SD
NPI 1093909616 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1093909616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 121A (SD)
- Practice address
- 309 N Bell Ave
Milbank, SD 57252-1302 - Phone
- (605) 432-4882
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121A | SD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 121A | SD | Yes |
Addresses
Primary practice location
309 N Bell Ave
Milbank, SD 57252-1302
Mailing address
309 N Bell Ave
Milbank, SD 57252-1302
Other providers in Milbank, SD
- Bien Pharmacy Inc
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- Kevin L Bjordahl
- Travis Bjordahl
- Kristy Nichole Boettcher
- Wendy Kristine Breske
- Bryan C. Johnson, DDS, PC
- Leshea Marie Buttke
- Conroy Eye Care PC
- John Allen Conroy
All providers in Milbank, SD · Occupational Therapy Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.