Individual
LESLIE ELLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 600-7413
(301) 600-3280
Mailing address
187 THOMAS JOHNSON DR, 6, FREDERICK, MD 21702-4503
(301) 663-1157
(301) 663-1229
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
05971
MD
225XP0200X
Pediatric Occupational Therapist
Primary
05971
MD
Other
Enumeration date
12/12/2007
Last updated
10/31/2018
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