Individual
DR. GREGORY A DEAN
Active
Individual
DR. GREGORY A DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008718
GA
225X00000X
Occupational Therapist
OT004504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I650305
MEDICARE PROVIDER NUMBER
GA
Enumeration date
03/22/2007
Last updated
01/20/2009
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