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Individual

MRS. KIMBERLY ANN OGDEN GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5215 LOUGHBORO RD NW, SUITE 200, WASHINGTON, DC 20016-2618
(317) 670-7385
Mailing address
5215 LOUGHBORO RD NW, SUITE 200, WASHINGTON, DC 20016-2618
(317) 670-7385

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207507
VA
225100000X
Physical Therapist
24113
MD
225100000X
Physical Therapist
Primary
PT871438
DC
225200000X
Physical Therapy Assistant
06003589A
IN

Other

Enumeration date
07/25/2008
Last updated
02/13/2013
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