Individual
PATRICIA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 FIRETOWN RD, SIMSBURY, CT 06070-1965
(860) 658-1018
Mailing address
PO BOX 145, EAST GRANBY, CT 06026-0145
(860) 371-7154
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1407
CT
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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