Bray, Joan

Bray, Joan is an individual health care provider with primary practice located at 4330 Southport Supply Rd Se Ste 103 , Southport NC 28461-9265. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bray, Joan can be contacted via phone (910) 363-4222.

Contact Information

Primary practice address
4330 Southport Supply Rd Se Ste 103 Southport NC 28461-9265
Phone: (910) 363-4222
Fax: (910) 477-6336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2149 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2149 North Carolina

Profile Details

NPI number 1225009277
LBN Legal business name Bray, Joan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
Last updated Feb 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225009277 NPPES
North Carolina MEDICAID 720795R

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