Individual
DOROTHY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
(843) 293-2246
Mailing address
3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006041
VA
225X00000X
Occupational Therapist
Primary
3969
SC
Other
Enumeration date
01/06/2014
Last updated
04/03/2017
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