Individual
SONIA R GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
(419) 784-9190
Mailing address
395 HARDING ST, DEFIANCE, OH 43512-1315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07216
OH
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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