BENJAMIN GRAY

LAKE HAVASU CITY, AZ
NPI1346641222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  10504A)
Enumeration Date2014-09-10
Last Update Date2014-09-10
Business Address
-- BENJAMIN GRAY
3540 KIOWA BLVD S
LAKE HAVASU CITY, AZ 86404-3428
Phone number: 928-551-5590
Mailing Address
-- BENJAMIN GRAY
3540 KIOWA BLVD S
LAKE HAVASU CITY, AZ 86404-3428
Phone number:
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