Individual
EDWIN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7338 CALLA LILLY LN, FRISCO, TX 75034-3812
(214) 923-6198
Mailing address
7338 CALLA LILLY LN, FRISCO, TX 75034-3812
(214) 923-6198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212942
TX
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
212942
TX
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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