Individual
EMILY WAUGH GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
Mailing address
2575 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5559
—
SC
Enumeration date
12/30/2020
Last updated
10/26/2023
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