Coleman Gray I, PTA
Physical Therapy Assistant in Ft Rucker, AL. Individual provider (NPI-1).
NPI number1679742001
StatusActive
Last updated in NPPESFeb 29, 2008
Details
- NPI
- 1679742001
- Entity type
- Individual (NPI-1)
- Name
- Mr. Coleman Gray I
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2008
- Last updated
- Feb 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
Physical Therapy ClinicLyster Army Health Clinic
Ft Rucker, AL 36362
Phone 334-255-7169
Mailing address
Physical Therapy ClinicLyster Army Health Clinic
Ft Rucker, AL 36362
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