Individual
SHANNON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 CONNER RD, HEBRON, KY 41048-8142
(859) 814-0022
Mailing address
7642 PLOW SHARE CT, FLORENCE, KY 41042-8066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01652
KY
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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