Individual
MR. GREGORY MORALES LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
850 E WASHINGTON ST, COLTON, CA 92324-8101
(909) 370-0572
Mailing address
850 E WASHINGTON ST, COLTON, CA 92324-8101
(909) 370-0572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4312
CA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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