Individual
SHAUNDE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, COTA, LIA
Contact information
Practice address
197 IRA RD, MOUND BAYOU, MS 38762-9708
(713) 569-5269
Mailing address
197 IRA RD, MOUND BAYOU, MS 38762-9708
(713) 569-5269
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
217657
TX
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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