Individual
GREGORY JAMES VANDEGRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5686 POCOWILLIS CT, WESTERVILLE, OH 43081-8299
(614) 855-0191
Mailing address
5686 POCOWILLIS CT, WESTERVILLE, OH 43081-8299
(614) 855-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6130
OH
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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