Individual
EDWARD GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12040 S JOG RD, SUITE 8, BOYNTON BEACH, FL 33437-4164
(561) 733-5083
Mailing address
12040 S JOG RD, SUITE 8, BOYNTON BEACH, FL 33437-4164
(561) 733-5083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9734
FL
Other
Enumeration date
12/06/2007
Last updated
10/14/2011
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