Tessa Ray

Individual provider Active NPI Occupational Therapy Assistant · Willow Wood, OH

NPI 1669336103 · NPPES record last updated Dec 10, 2025

Key facts

NPI
1669336103
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
4206 St. RT. 217
Willow Wood, OH 45696
Phone
(740) 612-9115
NPI assigned
Dec 10, 2025
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

4206 St. RT. 217
Willow Wood, OH 45696

Mailing address

4206 St. RT. 217
Willow Wood, OH 45696
Phone (740) 612-9115

Other providers in Willow Wood, OH

All providers in Willow Wood, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.