Individual
AMANDA BALLARD GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4704 CAHABA RIVER RD, STE J2, BIRMINGHAM, AL 35243-2344
(205) 298-8711
(205) 298-8722
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6295
AL
Other
Enumeration date
08/09/2012
Last updated
02/04/2016
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