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Individual

MARY THERESE L GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(800) 259-9897
Mailing address
1008 PARK AVE N, PARK RAPIDS, MN 56470-9541
(218) 252-0702

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12252
IA
225100000X
Physical Therapist
Primary
12455
MN
225100000X
Physical Therapist
1368819
TX
225100000X
Physical Therapist
4674
NE

Other

Enumeration date
04/02/2025
Last updated
04/02/2025
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