Individual
NEVA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARK AVE, BROOKINGS, OR 97415-9145
(888) 873-4221
Mailing address
1 PARK AVE, BROOKINGS, OR 97415-9145
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09093
OR
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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