Individual
HEATHER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 212-9000
Mailing address
5337 E EVANS DR, SCOTTSDALE, AZ 85254-2909
(480) 234-5385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5981
AZ
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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