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NPI Code Detail

MEDICARE: MARY S GRAY OTR/L

MEDICARE: MARY S GRAY OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1702403KS

General Provider Information

NPI Number : 1114158870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY S GRAY OTR/L
Provider Business Mailing Address
First Line : 315 S SETH CHILD RD
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-3003
Country : US
Telephone Number : 785-587-4235
Fax Number :
Provider Business Practice Location Address
First Line : 315 S SETH CHILD RD
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-3003
Country : US
Telephone Number : 785-587-4235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 03/20/2026

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Directions to “ MARY S GRAY OTR/L” Practice Location

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