Individual
DALTON MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 N POPLAR FORK RD, HURRICANE, WV 25526-7112
(304) 757-7826
Mailing address
6741 COUNTRY CLUB DR, HUNTINGTON, WV 25705-2051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002914
WV
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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