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Elizabeth Dianne Gray, COTA/L

Occupational Therapy Assistant in Newport News, VA. Individual provider (NPI-1).

NPI number1801246723
StatusActive
Last updated in NPPESJun 21, 2016

Details

NPI
1801246723
Entity type
Individual (NPI-1)
Name
Ms. Elizabeth Dianne Gray
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2016
Last updated
Jun 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant0131001520VAYes

Practice location

50 Wellesley Dr
Newport News, VA 23606-4046

Phone 757-930-1075

Mailing address

50 Wellesley Dr
Newport News, VA 23606-4046

Phone 757-930-1075

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