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Individual
MR. NORMAN GRAY
Active
Individual
MR. NORMAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000388
LICENSE NUMBER
GA
Enumeration date
12/05/2006
Last updated
07/08/2007
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