Individual
MRS. BETH A MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1873
Mailing address
PO BOX 134, GRANGEVILLE, ID 83530-0134
(208) 983-7858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
356
ID
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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