Individual
NICOLE J GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 HOLLY TREE RD, WILMINGTON, NC 28409-8556
(910) 716-4578
Mailing address
300 SPENCER FARLOW DR APT F, CAROLINA BEACH, NC 28428-4059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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