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Individual

GREGORY GLEN SHOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT, OCS

Contact information

Practice address
4650 PALM AVE, SAN DIEGO, CA 92154-8404
(619) 662-5297
Mailing address
1336 SANTA OLIVIA RD, CHULA VISTA, CA 91913-2878
(619) 397-6885

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
19897
CA

Other

Enumeration date
06/18/2007
Last updated
11/30/2021
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