Individual
MRS. DEBRA LEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1094 BOROUGH RD, CHARLESTOWN, NH 03603-4427
(603) 826-3128
Mailing address
1094 BOROUGH RD, CHARLESTOWN, NH 03603-4427
(603) 826-3128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0556
NH
224Z00000X
Occupational Therapy Assistant
073-0000177
VT
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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