Individual
MS. LAUREN TERESA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7125 HANNA ST, FORT WAYNE, IN 46816-1166
(260) 447-8811
Mailing address
1814 BAYER AVE, FORT WAYNE, IN 46805-4208
(260) 580-6574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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