Individual
ELVA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
545 ROWLETT RD, SUITE A, GARLAND, TX 75043-3700
(972) 303-7021
(972) 303-7020
Mailing address
545 ROWLETT RD, SUITE A, GARLAND, TX 75043-3700
(972) 303-7021
(972) 303-7020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
11/10/2010
Last updated
11/10/2010
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