Miss Priscilla R Gray
Occupational Therapist - Gerontology
26 Tower Rd Ne
Marietta
, Georgia 30060-6947
Miss Priscilla R Gray
Occupational Therapist - Gerontology
26 Tower Rd Ne
Marietta
, Georgia 30060-6947
(770) 420-3341
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Miss Priscilla R Gray
- 2055 Fairways Ct Nw
- Kennesaw, GA
- Zip : 30144-2093
- Fax : (770) 420-3341
- Phone : (404) 903-2845
Second Address
- Miss Priscilla R Gray
- 26 Tower Rd Ne
- Marietta, GA
- Zip : 30060-6947
- Fax : (770) 420-3341
- Phone : (770) 422-8913
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Is Miss Priscilla R Gray a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 000054OTA | GA |
National Provider Identifier
| NPI | 1215256714 |
|---|---|
| Provider Name | Miss Priscilla R Gray |
| First Address | Kennesaw, GA 30144-2093 |
| Second Address | Marietta, GA 30060-6947 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2010 |
| Last Update Date | 24/05/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.