Individual
MR. GREGORY DALLAS EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2423 KAVANAUGH BLVD, LITTLE ROCK, AR 72205-3902
(501) 580-4041
Mailing address
2423 KAVANAUGH BLVD, LITTLE ROCK, AR 72205-3902
(501) 580-4041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2442
AR
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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