Individual
CARRISSA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
579 BUCK ISLAND RD, WEST YARMOUTH, MA 02673-3200
(508) 957-7007
Mailing address
579 BUCK ISLAND RD, WEST YARMOUTH, MA 02673-3200
(508) 957-7007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3727
MA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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