Individual
BRENTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
292 APPLEGARTH RD, MONROE, NJ 08831-3754
(609) 860-8122
Mailing address
292 APPLEGARTH RD, MONROE, NJ 08831-3754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09128200
NJ
Other
Enumeration date
06/07/2017
Last updated
03/17/2018
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