Individual
MRS. LISA B GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13550 S OUTER HWY FORTY, CHESTERFIELD, MO 63017
(314) 878-1330
Mailing address
205 MORNING DEW CT, SAINT PETERS, MO 63376-3864
(636) 294-4104
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2000155690
MO
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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