Individual
MIRANDA ELIZABETH GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA,BS
Contact information
Practice address
1708 BOISE AVE, LOVELAND, CO 80538-4204
(970) 663-0815
Mailing address
1200 GOLD DR APT 1205-1, FORT COLLINS, CO 80524-8636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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