Individual
RONALD GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
120 S MAIN ST, ALTURAS, CA 96101-4084
(530) 233-7055
(530) 233-4513
Mailing address
120 S MAIN ST, ALTURAS, CA 96101-4084
(530) 233-7055
(530) 233-4513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5744
CA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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