Gray, Benjamin

Gray, Benjamin is an sole proprietor health care provider with primary practice located at 3540 Kiowa Blvd S , Lake Havasu City AZ 86404-3428. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Gray, Benjamin can be contacted via phone (928) 551-5590.

Contact Information

Primary practice address
3540 Kiowa Blvd S Lake Havasu City AZ 86404-3428
Phone: (928) 551-5590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 10504A Arizona

Profile Details

NPI number 1346641222
LBN Legal business name Gray, Benjamin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2014
Last updated Sep 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers