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Individual

MRS. VIRGINIA PERRY GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1742 DEER LN, LOUISVILLE, KY 40205-1218
(615) 829-0212
Mailing address
1742 DEER LN, LOUISVILLE, KY 40205-1218
(615) 829-0212

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005783
KY
225100000X
Physical Therapist
PT7660
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3646784
TN
Enumeration date
09/20/2006
Last updated
09/12/2021
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