Individual
MRS. BRENDA GAIL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1497 INDIAN HILLS DR, LENOIR, NC 28645-9515
(828) 493-0602
Mailing address
1497 INDIAN HILLS DR, LENOIR, NC 28645-9515
(828) 493-0602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2368
NC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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