-- SHANNON GRAY --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1982142469- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2200 CONNER RD, HEBRON, KY, 410488142
- Phone
- (859) 814-0022
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: KY #A01652
All Addresses
MAILING
7642 PLOW SHARE CT
FLORENCE, KY, 410428066