Charles Gray, PT

NPI #1821234394 in Hayward, Wisconsin

Provider Information

NPI Number: 1821234394
Entity Type: Individual
Name: Charles Gray, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 5, 2009
Last Updated: Jan 5, 2009

Practice Location

Address: 11134 N STATE ROAD 77
Address 2: DULUTH CLINIC HAYWARD
City: Hayward
State: Wisconsin
ZIP Code: 54843-5325
Phone: (715) 634-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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