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Individual

MR. JOSHUA RONALD GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.T.R.S.

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2638
Mailing address
PO BOX 351, GRAPEVIEW, WA 98546-0351
(509) 863-6210

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
46630

Other

Enumeration date
10/16/2009
Last updated
10/16/2009
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