Individual
SEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27442 PORTOLA PKWY, SUITE 200, FOOTHILL RANCH, CA 92610-2823
(949) 282-5900
Mailing address
2729 TERESITA ST, SAN DIEGO, CA 92104-5254
(619) 616-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10162
CA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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