Rita Ann Gray, OTR

Individual provider Active NPI Occupational Therapist · Highland, MI

NPI 1992917322 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992917322
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201001670 (MI)
Practice address
2636 S Milford Rd
Highland, MI 48357-4938
Phone
(248) 684-9610
Fax
(248) 684-9611
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201001670MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201001670 MI Yes

Addresses

Primary practice location

2636 S Milford Rd
Highland, MI 48357-4938

Mailing address

3739 Navarra Dr
White Lake, MI 48383-1467
Phone (248) 887-0354

Other providers in Highland, MI

All providers in Highland, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.