Individual
KRISTIN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2601 NORTHWEST LOOP, STEPHENVILLE, TX 76401
(254) 968-4649
Mailing address
409 WALKER ST, GLEN ROSE, TX 76043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214758
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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