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Individual

MR. DAVID KIRK GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4442 PIEDMONT AVE, SUITE F, OAKLAND, CA 94611-4231
(510) 388-3664
Mailing address
53 MONTEGO KY, NOVATO, CA 94949-5351
(415) 883-7885

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13751
CA
2251P0200X
Pediatric Physical Therapist
Primary
13751
CA

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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