Individual
CARRIE DIANE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
2340 NW 32ND ST, NEWCASTLE, OK 73065-6589
(405) 392-3322
(405) 392-3356
Mailing address
2475 BOARDWALK, NORMAN, OK 73069-6332
(405) 447-1991
(405) 447-1198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3813
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200121360A
—
OK
Enumeration date
01/13/2006
Last updated
08/26/2014
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