Individual
SUSAN T GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8765 W KELTON LN, SUITE 116, PEORIA, AZ 85382-3584
(623) 977-4911
Mailing address
17719 W WIND SONG AVE, GOODYEAR, AZ 85338-5788
(623) 386-8168
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4747
AZ
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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