Individual
DONNA J GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1501 LEHIGH ST, SUITE 201, ALLENTOWN, PA 18103-3880
(610) 289-0114
Mailing address
64 KELLEN CT, BIRDSBORO, PA 19508-8299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006260
PA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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