Individual
GREGORY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2009 HOLTON RD, MUSKEGON, MI 49445-1578
(231) 291-8020
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016346
MI
Other
Enumeration date
08/30/2017
Last updated
10/17/2017
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