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Individual

MS. ASHLEE AUTUMN GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC,

Contact information

Practice address
3200 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4310
(814) 949-9500
(814) 949-9550
Mailing address
108 DEERFIELD LN, ALTOONA, PA 16601-9472
(703) 618-6525

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005460
PA

Other

Enumeration date
11/14/2009
Last updated
04/12/2016
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