Individual
TIFFANY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6777 PERCY WAY, REX, GA 30273-1760
(470) 778-8295
Mailing address
6777 PERCY WAY, REX, GA 30273-1760
(470) 778-8295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
63016743
NY
225X00000X
Occupational Therapist
Primary
OT006705
GA
Other
Enumeration date
06/27/2011
Last updated
10/15/2019
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