Individual
GREGORY KENNETH LEFEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15364 W PIERSON ST, GOODYEAR, AZ 85395-7736
(602) 390-2848
Mailing address
15364 W PIERSON ST, GOODYEAR, AZ 85395-7736
(602) 390-2848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10511A
AZ
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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