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Bryan Gray, LPTA
NPI 1649834631 · on the registry since 2019
Practice
- Address
- 4315 Blackfoot Dr Sw
Grandville, MI 49418 - Phone
- (616) 214-6806
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-25
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 Michigan