Individual
CAROL L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7662 VAN BUREN ST, MERRILLVILLE, IN 46410-5769
(219) 306-3782
Mailing address
PO BOX 10042, MERRILLVILLE, IN 46411-0042
(219) 306-3782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003320A
IN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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