Individual
MS. ELIZABETH DIANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
50 WELLESLEY DR, NEWPORT NEWS, VA 23606-4046
(757) 930-1075
Mailing address
50 WELLESLEY DR, NEWPORT NEWS, VA 23606-4046
(757) 930-1075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001520
VA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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