Individual
AMELIA ANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12250 EL CAMINO REAL STE 190, SAN DIEGO, CA 92130-2298
(858) 793-1460
Mailing address
12250 EL CAMINO REAL STE 190, SAN DIEGO, CA 92130-2298
(770) 328-2304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301562
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
08/12/2019
Last updated
03/16/2022
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