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Individual

MR. DAVID MICHAEL GRAYGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
7010 ENGLE RD, STE 105, MIDDLEBURG HEIGHTS, OH 44130-8401
(440) 260-3733
(260) 239-0979
Mailing address
7010 ENGLE RD, STE 105, MIDDLEBURG HEIGHTS, OH 44130-8401
(440) 260-3733
(260) 239-0979

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011410
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390268
ANTHEM
OH
05
2682897
OH
01
9427360
PHCS
OH
01
P00313282
MEDICARE RAILROAD
OH
Enumeration date
04/25/2006
Last updated
06/13/2014
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