Individual
GREGORY PAUL VESCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2295 TOWNE LAKE PKWY STE 148, WOODSTOCK, GA 30189-5520
(770) 926-2744
(770) 926-2794
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18093
MA
225100000X
Physical Therapist
Primary
PT013719
GA
225100000X
Physical Therapist
PT01858
RI
Other
Enumeration date
07/19/2006
Last updated
10/29/2019
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