Healthcare Provider Details

I. General information

NPI: 1497675433
Provider Name (Legal Business Name): SYLVIE MICHELLE GRAY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CENTER ST
MOBILE AL
36604-3301
US

IV. Provider business mailing address

1055 SCHAUB AVE
MOBILE AL
36609-5184
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1000
  • Fax:
Mailing address:
  • Phone: 256-298-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPTH12694
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: