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Individual

MR. JEREMY GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6031
SC
225X00000X
Occupational Therapist
OT006122
GA

Other

Enumeration date
04/29/2015
Last updated
04/12/2021
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