Individual
NOLA CRYSTALYN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-3330
(864) 366-4958
Mailing address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-3330
(864) 366-4958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6205
SC
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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