SearchArizonaPhysical Therapy Assistant

Benjamin Gray

NPI 1346641222 · on the registry since 2014 · sole proprietor

Practice

Address
3540 Kiowa Blvd S
Lake Havasu City, AZ 86404
Phone
(928) 551-5590

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-10

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 Arizona