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Organization
GRAY PHYSICAL THERAPY
Active
Organization
GRAY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A GRAY MPT (MPT/OWNER)
(530) 409-0677
Entity
Organization
Contact information
Practice address
4250 FOWLER LN STE 101, DIAMOND SPRINGS, CA 95619-9782
(530) 409-0677
(530) 295-8266
Mailing address
4250 FOWLER LN STE 101, DIAMOND SPRINGS, CA 95619-9782
(530) 409-0677
(530) 295-8266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20219
CA
Other
Enumeration date
08/25/2009
Last updated
12/19/2017
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