Individual
GREGORY ALAN HOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
552 SMITHBRIDGE RD, GARNET VALLEY HIGH SCHOOL, GLEN MILLS, PA 19342-1558
(610) 579-7757
Mailing address
128 STONEBRIDGE LN, DOWNINGTOWN, PA 19335-5507
(610) 269-2263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000780A
PA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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