Provider Demographics
NPI:1124506761
Name:GRAY, SABRINA J (DPT)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:J
Last Name:GRAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:J
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1110 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2677
Mailing Address - Country:US
Mailing Address - Phone:718-530-4563
Mailing Address - Fax:
Practice Address - Street 1:1110 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2677
Practice Address - Country:US
Practice Address - Phone:718-530-4563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist