NPI 1477510105
Angela Beth Gray, PTA
Practice location
- Address
- 17706 Interstate 30 N, Benton, AR 72019-2907
- Phone
- (501) 315-4414
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1477510105
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Apr 2006
- Record last updated
- 5 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.