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Individual
MR. NEIL GREGORY KING
Active
Individual
MR. NEIL GREGORY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F357680
BLUE CROSS
MI
01
—
P55360001
MEDICARE PTAN
MI
Enumeration date
05/03/2006
Last updated
09/06/2013
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