Sydelle Marra Gray, DPT | |
12608 Lamplighter Square Shopping Center, Saint Louis, MO 63128 | |
(314) 842-4222 | |
Not Available |
Full Name | Sydelle Marra Gray |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 12608 Lamplighter Square Shopping Center, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538744750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2021006177 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Missouri Physical Therapy Llc | 6901870187 | 19 |
Provider Name | Central Missouri Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
Mailing Address | Practice Location Address |
---|---|
Sydelle Marra Gray, DPT 201 Autumn View Ct, Saint Peters, MO 63376-7343 Ph: (636) 485-6390 | Sydelle Marra Gray, DPT 12608 Lamplighter Square Shopping Center, Saint Louis, MO 63128 Ph: (314) 842-4222 |
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Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422 | |
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