Daniel Gray
Physical Therapy Assistant in York, SC. Individual provider (NPI-1).
NPI number1265091086
StatusActive
Last updated in NPPESJun 10, 2019
Details
- NPI
- 1265091086
- Entity type
- Individual (NPI-1)
- Name
- Daniel Gray
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2019
- Last updated
- Jun 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 4141 | SC | Yes |
Practice location
1528 Autumn Brook LnYork, SC 29745-5316
Phone 803-628-8114
Mailing address
1528 Autumn Brook LnYork, SC 29745-5316
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