Individual
MR. BRYAN DAVID GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4315 BLACKFOOT DR SW, GRANDVILLE, MI 49418-1708
(616) 214-6806
Mailing address
4315 BLACKFOOT DR SW, GRANDVILLE, MI 49418-1708
(616) 214-6806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005588
MI
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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