Individual
MS. CAROL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSIOLOGST.,H.COACH
Contact information
Practice address
910 N MADISON BLVD, ROXBORO, NC 27573-4573
(336) 322-8000
Mailing address
6687 BURLINGTON RD, HURDLE MILLS, NC 27541-9319
(336) 747-0528
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14488787
AMERICAN RED CROSS
NC
01
—
BS DEGREE
APPALCHIAN STATE UNIVERSITY
NC
01
—
T49071
AMERICAN COUNCIL ON EXERCISE
—
Enumeration date
10/12/2016
Last updated
10/12/2016
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