Individual
MR. GREG J. DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3355 CHERRY RIDGE ST STE 209, SAN ANTONIO, TX 78230-4818
(210) 366-1575
(210) 366-1883
Mailing address
14810 NASHWA ST, SAN ANTONIO, TX 78248-1151
(210) 471-1216
(210) 858-4047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058320
TX
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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