Individual
CHARLENE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 E 23RD ST, SUITE 200, FREMONT, NE 68025-0800
(866) 784-2329
Mailing address
15702 SEEKERS ST, SAN ANTONIO, TX 78255-3302
(210) 392-3184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114532
TX
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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