Most Relevant Information
Provider Data
| NPI Number: | 1003288689 |
| Provider Name: | DONNA P GRAY OTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 0000448 |
Most Important Dates
| Enumeration Date: | 10/22/2015 |
| Last Updated: | 10/22/2015 |
Provider Practice Location
25117 SW PARKWAY AVE
STE D
WILSONVILLE
OR
970709697
Practice Location Phone/Fax
| Phone: | 9712242040 |
| Fax: |
Provider Mailing Location
3994 BRUSHWOOD WAY
CASTLE ROCK
CO
801097950
Provider Mailing Phone/Fax
| Phone: | 3035482471 |
| Fax: |