Search › Idaho › 225200000X
Vanessa Gray, PTA
NPI 1013588169 · on the registry since 2021
Practice
- Address
- 5453 N Mitchum Ave
Meridian, ID 83646 - Phone
- (503) 869-6843
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho