Ray, Holly Jean

Ray, Holly Jean is an individual health care provider with primary practice located at 1300 Egg Harbor Rd Ste 108 , Sturgeon Bay WI 54235-1284. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Ray, Holly Jean can be contacted via phone (920) 746-0410.

Contact Information

Primary practice address
1300 Egg Harbor Rd Ste 108 Sturgeon Bay WI 54235-1284
Phone: (920) 746-0410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10648-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 769-39 Wisconsin

Profile Details

NPI number 1114018157
LBN Legal business name Ray, Holly Jean
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 4th, 2010 - about 15 years ago

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 1114018157 NPPES
Wisconsin MEDICAID 36118100

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