Individual
JAMIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
(276) 669-0384
Mailing address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
(276) 669-0384
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603436
VA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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