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Individual

SARAH NICOLE GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(855) 492-8878
(610) 347-4922
Mailing address
1624 CANTERBURY TRL, APT 9H, MOUNT PLEASANT, MI 48858-4094
(989) 817-2753

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5202007520
MI

Other

Enumeration date
01/02/2013
Last updated
01/02/2013
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