Individual
DANIEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1528 AUTUMN BROOK LN, YORK, SC 29745-5316
(803) 628-8114
Mailing address
1528 AUTUMN BROOK LN, YORK, SC 29745-5316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4141
SC
Other
Enumeration date
06/06/2019
Last updated
06/10/2019
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