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Individual

GREGORY L DOCKERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
7809 S 24TH ST, FORT SMITH, AR 72908-7861
(479) 926-5028
Mailing address
7809 S 24TH ST, FORT SMITH, AR 72908-7861
(479) 926-5028

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA1652
AR
225200000X
Physical Therapy Assistant
Primary
PTA1862
OK
225200000X
Physical Therapy Assistant
PTA2070308
TX

Other

Enumeration date
06/07/2012
Last updated
06/07/2012
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