Vanessa Anne Gray, PTA

NPI #1013588169 in Meridian, Idaho

Provider Information

NPI Number: 1013588169
Entity Type: Individual
Name: Vanessa Anne Gray, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 8, 2021
Last Updated: Jul 8, 2021

Practice Location

Address: 5453 N MITCHUM AVE
City: Meridian
State: Idaho
ZIP Code: 83646-0004
Phone: (503) 869-6843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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