Individual
MR. CHRISTY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2104 N BROADWAY ST, SUITE B, POTEAU, OK 74953-2501
(918) 649-0799
(918) 649-0797
Mailing address
PO BOX 304, POTEAU, OK 74953-0304
(918) 647-6627
(918) 649-0028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1864
OK
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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