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Individual

MR. JONATHAN GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1635 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-2305
(828) 693-8128
Mailing address
15 ALLESARN RD APT 1A, ASHEVILLE, NC 28804-2234
(424) 202-4739

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5824
NC

Other

Enumeration date
02/06/2016
Last updated
02/06/2016
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