Individual
MISS PRISCILLA R GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
26 TOWER RD NE, MARIETTA, GA 30060-6947
(770) 422-8913
(770) 420-3341
Mailing address
2055 FAIRWAYS CT NW, KENNESAW, GA 30144-2093
(404) 903-2845
(770) 420-3341
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
000054OTA
GA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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