Individual
ANGELA BETH GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17706 INTERSTATE 30 N, BENTON, AR 72019-2907
(501) 315-4414
Mailing address
17706 INTERSTATE 30 N, BENTON, AR 72019-2907
(501) 315-4414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1804
AR
Other
Enumeration date
04/27/2006
Last updated
07/05/2022
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