Individual
ELLEN MELINDA COLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3810 MARTIN LUTHER KING JR. BLVD, WACO, TX 76708-5101
(254) 714-2222
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1009595
TX
Other
Enumeration date
08/03/2006
Last updated
09/20/2016
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