Mr Lawrence A Gray, MPT | |
4250 Fowler Ln Ste 101, Diamond Springs, CA 95619-9782 | |
(530) 409-0677 | |
Not Available |
Full Name | Mr Lawrence A Gray |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4250 Fowler Ln Ste 101, Diamond Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861598542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 20219 (California) | Primary |
Provider Name | Burger Physical Therapy Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356352082 PECOS PAC ID: 8921019746 Enrollment ID: O20060508001012 |
Mailing Address | Practice Location Address |
---|---|
Mr Lawrence A Gray, MPT 4250 Fowler Lane, Ste 101, Diamond Springs, CA 95619-9782 Ph: (530) 409-0677 | Mr Lawrence A Gray, MPT 4250 Fowler Ln Ste 101, Diamond Springs, CA 95619-9782 Ph: (530) 409-0677 |
Robyn Swartz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6692 Merchandise Way, #c, Diamond Springs, CA 95619 Phone: 530-621-1149 Fax: 530-626-3049 | |
Kimberly Michele Mckinstry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4250 Fowler Ln Ste 101, Diamond Springs, CA 95619 Phone: 530-306-1497 Fax: 530-344-7589 | |
Gray Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln Ste 101, Diamond Springs, CA 95619 Phone: 530-409-0677 Fax: 530-295-8266 |