Individual ProviderDorothea GrayPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6153PECOS EnrollmentBased on the most recent information from CMS, provider Dorothea Gray does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1427247204Provider TypeIndividualFull NameGray, DorotheaGenderFemaleSole ProprietorNoEnumeration Date10/17/2007Last Updated10/17/2007Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6153FaxUnlisted FaxMailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense507North Dakota