Gray, Debra Anna

Gray, Debra Anna is an individual health care provider with primary practice located at 4912 Annabelle Ct , Weston WI 54476-4268. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gray, Debra Anna can be contacted via phone (719) 645-9455.

Contact Information

Primary practice address
4912 Annabelle Ct Weston WI 54476-4268
Phone: (719) 645-9455
Fax: (866) 736-4757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8870 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11540-24 Wisconsin

Profile Details

NPI number 1952363582
LBN Legal business name Gray, Debra Anna
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 1st, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952363582 NPPES
Colorado MEDICAID 80982751

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