JORDAN GRAY

VALPARAISO, IN
NPI1386003069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003834A)
Enumeration Date2016-02-23
Last Update Date2016-02-23
Business Address
-- JORDAN GRAY PTA
2501 CUMBERLAND DR
VALPARAISO, IN 46383-2503
Phone number: 219-462-4481
Mailing Address
-- JORDAN GRAY PTA
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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