Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Justin Bray, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1750738977

Charles Justin Bray, COTA/L is an Occupational Therapy Assistant in Bossier City, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

544 Rugby Pl
Bossier City, LA 71111-4816
Phone: (318) 455-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA.200266 (LA)

Record details

NPI number1750738977
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 17, 2016
Last updated in NPPESMay 17, 2016

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