Individual
IRIS GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSOT
Contact information
Practice address
6569 HIGHWAY 305 N, OLIVE BRANCH, MS 38654-3044
(901) 870-1246
Mailing address
4245 SUNSET RD, NESBIT, MS 38651-9015
(901) 870-1246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2144
MS
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/08/2008
Last updated
09/08/2023
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