Individual
ANITA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMLDT
Contact information
Practice address
2700 W 21ST ST STE 9, ERIE, PA 16506-6916
(814) 440-8224
Mailing address
15 KELLOGG ST, ERIE, PA 16508-2721
(814) 440-8224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006729
PA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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