Individual
ALEXANDRIA GRAY-LION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
258 HARRISON ST, CHELSEA, MI 48118-1013
(517) 815-4120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004963
MI
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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