Individual
LAWRENCE GREGGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 SALEM DR, REDLANDS, CA 92373-6189
(909) 353-1660
Mailing address
25765 VIA HAMACA AVE, MORENO VALLEY, CA 92551-2176
(951) 212-4033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49768
CA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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