Doctor Name: | MR. GARY WYNN GRAY |
NPI Number: | 1033242151 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5501001537 |
Business Practice Address: | 1800 W Us 223 Suite 100 Adrian, MI - 492218439 |
Business Phone Number: | 5172633378 |
Business Fax Number: | 5172634527 |
Mailing Address: | 1800 W Us 223, Suite 100 ADRIAN |
State: | MI |
Postal Code: | 492218439 |
Phone Number: | 5172633378 |
Fax Number: | 5172634527 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501001537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |