Individual
HEATHER M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149
(702) 395-1555
Mailing address
8120 SPICE ISLAND CT, LAS VEGAS, NV 89143-5153
(702) 686-6469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0705
NV
225X00000X
Occupational Therapist
46TR00450600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00450600
MEDICAL LICENSE
NJ
Enumeration date
09/20/2007
Last updated
09/28/2010
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