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Contact Information

LISA B GRAY, OTR/L
13550 S OUTER HWY FORTY
CHESTERFIELD, MO63017
 Phone: 314-878-1330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LISA B GRAY · (Female)

NPI Number 1053755751
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 04/24/2013
Last updated 04/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2000155690
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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