IndividualActive
Carolyn Gray, RSA
NPI 1083377121 · Rehabilitation Practitioner · Waterloo, IL
Provider details
- NPI number
- 1083377121
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RSA
- Sex
- Female
- Sole proprietor
- No
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
Mailing address
988 N Illinois Route 3
Waterloo, IL 62298-1059
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.