Individual
HANNELORE J GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
421 PONDERS GAP RD, TEN MILE, TN 37880-2008
(865) 789-9137
Mailing address
421 PONDERS GAP RD, TEN MILE, TN 37880-2008
(865) 789-9137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6283
TN
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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