Individual
KEVIN GRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 E IMPERIAL HWY STE 504, LYNWOOD, CA 90262-2659
(323) 545-0088
Mailing address
3680 E IMPERIAL HWY STE 504, LYNWOOD, CA 90262-2659
(310) 807-7545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11748
CA
Other
Enumeration date
05/15/2018
Last updated
03/03/2025
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