Individual provider · Type 1 NPI

Paula Gray

Prosthetic/Orthotic Supplier · Charlotte, NC

NPI number 1104757749 Active

Practice location

3709 Eastway Dr
Charlotte, NC 28205-6266

Fax (980) 430-3075

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	8FTJ0MQV04 (NC)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1104757749

Paula Gray's National Provider Identifier is 1104757749, issued on May 25, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on May 25, 2026.