IndividualActive
Benjamin Gray
NPI 1346641222 · Physical Therapy Assistant · Lake Havasu City, AZ
Provider details
- NPI number
- 1346641222
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10504A (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3540 Kiowa Blvd S
Lake Havasu City, AZ 86404-3428
Phone: (928) 551-5590
Approximate (ZIP-level) locationGet directions
Mailing address
3540 Kiowa Blvd S
Lake Havasu City, AZ 86404-3428
Registry dates
- Enumerated
- 2014-09-10
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.