Individual
ANGELA L. GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 778-9348
(573) 778-3463
Mailing address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 778-9348
(573) 778-3463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999141517
MO
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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