Individual
MADISON LUCILLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3707 KATALIN CT, BAY CITY, MI 48706-2161
(989) 671-0866
(989) 671-0867
Mailing address
3707 KATALIN CT, BAY CITY, MI 48706-2161
(989) 671-0866
(989) 671-0867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201012830
MI
Other
Enumeration date
07/30/2018
Last updated
04/01/2022
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