Individual
MRS. LISA MARIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3104 SKINNER MILL RD, AUGUSTA, GA 30909-1968
(706) 522-4222
Mailing address
102 CASCADE DR, NORTH AUGUSTA, SC 29841-2163
(803) 202-7290
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT005643
GA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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