Individual
PHYLISS E. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W GOODWIN ST, PLEASANTON, TX 78064-4002
(830) 569-2138
Mailing address
2334 HICKS AVE, SAN ANTONIO, TX 78210-3705
(210) 289-9640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202254
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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