Individual
AUSTIN CHARLES MYLES GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
Mailing address
10416 GAVIOTA AVE, GRANADA HILLS, CA 91344-7016
(818) 903-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT298933
CA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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