Most Relevant Information
Provider Data
| NPI Number: | 1003378175 |
| Provider Name: | HANNAH NICOLE GRAY ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 1669 |
Most Important Dates
| Enumeration Date: | 04/05/2019 |
| Last Updated: | 04/05/2019 |
Provider Practice Location
4710 N 5TH ST
PHOENIX
AZ
850121738
Practice Location Phone/Fax
| Phone: | 2698238188 |
| Fax: |
Provider Mailing Location
15757 N 90TH PL APT 2186
SCOTTSDALE
AZ
852602015
Provider Mailing Phone/Fax
| Phone: | 2698238188 |
| Fax: |