Individual
ELIZABETH ANNE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1054 LAKESHORE DR, AVONDALE ESTATES, GA 30002-1431
(404) 499-0558
Mailing address
1054 LAKESHORE DR, AVONDALE ESTATES, GA 30002-1431
(404) 499-0558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000518
GA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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