| Mr Brian E Gray, DPT | |
|
420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 | |
| (803) 728-0421 | |
| (803) 728-0424 |
| Full Name | Mr Brian E Gray |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124247754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225200000X | Physical Therapy Assistant | 8412 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian E Gray, DPT 370 Palm Sedge Loop, Elgin, SC 29045-8005 Ph: (803) 673-8977 | Mr Brian E Gray, DPT 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 Ph: (803) 728-0421 |
Rebecca Wilder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-8658 | |
Dr. Michael L Heiner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-6562 |