Individual
MR. KURT EUGENE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
5555 MONTGOMERY DRIVE, SANTA ROSA, CA 95409
(707) 579-6972
(707) 579-6987
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5797
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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