Individual
MR. KENNETH P GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
311 N MAIN ST, DANSVILLE, NY 14437-9798
(585) 335-6770
Mailing address
27 N CLINTON ST, DANSVILLE, NY 14437-1121
(585) 727-8605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003271-1
NY
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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