Individual
STEVE R GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
123 W MAIN ST, HOMER, LA 71040-4435
(318) 927-4987
(318) 927-4987
Mailing address
207 N SERVICE RD E, RUSTON, LA 71270-2805
(318) 927-4987
(318) 927-4987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z11040
LA
Other
Enumeration date
09/27/2011
Last updated
09/30/2011
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