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Individual

MS. DEBRA ANNA GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

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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