Doctor Name: | JODI GRAY |
NPI Number: | 1427231984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 3436 |
Business Practice Address: | 12040 S Jog Rd Suite 8 Boynton Beach, FL - 334374164 |
Business Phone Number: | 5617335083 |
Business Fax Number: | |
Mailing Address: | 12040 S Jog Rd, Suite 8 BOYNTON BEACH |
State: | FL |
Postal Code: | 334374164 |
Phone Number: | 5617335083 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 3436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |