Individual
GREGORY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6117 GUNN HWY, TAMPA, FL 33625-4013
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008374
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT23292
FL
Other
Enumeration date
11/03/2006
Last updated
11/15/2024
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