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DR. COURTNEY ELYSHA GRAY DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1720352420
Individual Registrant:DR. COURTNEY ELYSHA GRAY DC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1281 RTE 113 BLOOMING GLEN, PA 18911 US
Tel: 215-257-3938 Fax: --
Tel: 215-257-3938 Fax: --
Contact information for business:
PO BOX 27 BLOOMING GLEN, PA 18911-0027 US
Tel: 215-257-3938 Fax: --
Tel: 215-257-3938 Fax: --
Registration Information:
NPI: 1720352420
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | PA | DC010471 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
