Individual
MS. DEBRA ANNA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4912 ANNABELLE CT, WESTON, WI 54476-4268
(719) 645-9455
(866) 736-4757
Mailing address
4912 ANNABELLE CT, WESTON, WI 54476-4268
(719) 645-9455
(866) 736-4757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11540-24
WI
225100000X
Physical Therapist
8870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80982751
—
CO
Enumeration date
04/06/2006
Last updated
12/01/2010
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