Individual
MR. FLOYD ADRIEL GRAY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7841 RESEDA BLVD, 112, RESEDA, CA 91335-1946
(661) 312-0006
Mailing address
7841 RESEDA BLVD, APT 112, RESEDA, CA 91335-1946
(661) 312-0006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6845
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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