Individual
MR. DEREK ALLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2425 E 71ST ST, CHICAGO, IL 60649-2612
(773) 721-5000
Mailing address
801 S FINANCIAL PL APT 1703, CHICAGO, IL 60605-1794
(804) 317-7849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009402
IL
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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