# GARY GRAY PHYSICAL THERAPY CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073535845
- **Authorized official:** ERIC C WARNER PT (PRESIDENT)
- **Authorized official phone:** (312) 640-0329

## Contact information

- **Practice address:** 2408 MOMENTUM PL, CHICAGO, IL 60689-0001
- **Practice address phone:** (877) 255-4322
- **Mailing address:** 1801 W MAUMEE ST, SUITE 125, ADRIAN, MI 49221-1291
- **Mailing address phone:** (517) 264-6141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | MI | Yes |
| 225X00000X | Occupational Therapist | — | MI | — |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 03/06/2013