Individual
JUSTIN J GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, ATC,CSCS
Contact information
Practice address
73 NEALY BLVD, BLDG 256, HAMPTON, VA 23665-2023
(913) 940-0436
Mailing address
151 EAGAN AVE, HAMPTON, VA 23665-1921
(913) 940-0436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
07/06/2009
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