Individual
REBECCA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(800) 654-9410
Mailing address
810 FANSHAWE LN APT 100, LAFAYETTE, IN 47905-3433
(765) 960-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006897A
IN
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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