Individual
KELSEY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 E 11TH ST, RUSHVILLE, IN 46173-1368
(765) 932-2974
Mailing address
10744 N 100 E, KNIGHTSTOWN, IN 46148-9682
(765) 561-2927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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