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Individual

CALLIOPE JOON GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5070 LAMME RD, KETTERING, OH 45439
(937) 293-7703
Mailing address
3584 ROSEHILL AVE, BEAVERCREEK, OH 45440
(937) 838-3481

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010312
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT010312
OCCUPATIONAL THERAPIST
OH
Enumeration date
09/02/2018
Last updated
09/02/2018
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