Individual
SYDELLE MARRA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12608 LAMPLIGHTER SQUARE SHOPPING CENTER, SAINT LOUIS, MO 63128
(314) 842-4222
Mailing address
201 AUTUMN VIEW CT, SAINT PETERS, MO 63376-7343
(636) 485-6390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021006177
MO
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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