Individual
CHRISTOPHER D GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1401 W COUNTY LINE RD, GREENWOOD, IN 46142-5195
(317) 817-1200
(317) 817-1220
Mailing address
201 PENNSYLVANIA PKWY STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
(317) 817-1220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05011423A
INDIANA MEDICAL LICENSE
IN
Enumeration date
07/15/2014
Last updated
12/12/2019
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