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Individual
MR. RICHARD LEO GREGORY
Active
Individual
MR. RICHARD LEO GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63048
LC
WA
05
—
7036585
—
WA
01
—
GR2567
REGENCE
WA
Enumeration date
03/13/2007
Last updated
09/09/2010
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