Individual
DIANA C GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11135 MANCHESTER RD, SAINT LOUIS, MO 63122-1253
(314) 822-4400
(314) 822-4111
Mailing address
11135 MANCHESTER RD, SAINT LOUIS, MO 63122-1253
(314) 822-4400
(314) 822-4111
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
01329
MO
Other
Enumeration date
09/19/2008
Last updated
06/09/2010
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