Individual
CHARLES GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11134 N STATE ROAD 77, DULUTH CLINIC HAYWARD, HAYWARD, WI 54843-5325
(715) 634-5505
Mailing address
11134 N STATE ROAD 77, DULUTH CLINIC HAYWARD, HAYWARD, WI 54843-5325
(715) 634-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9807
WI
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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