Individual
HANNAH ROSE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 E BRADFORD PKWY STE 210-4, SPRINGFIELD, MO 65804-6539
(417) 773-0566
Mailing address
206 JUSTIN ST, ROGERSVILLE, MO 65742-8729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019031217
MO
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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