Individual
GINA JENNIFER GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
Mailing address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017176-1
NY
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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