Individual
JENNIFER GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 3RD AVE, CANYON, TX 79015-3031
(954) 397-1021
(806) 557-4655
Mailing address
1902 3RD AVE, CANYON, TX 79015-3031
(954) 397-1021
(806) 557-4655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209809
TX
Other
Enumeration date
03/08/2015
Last updated
03/08/2015
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