Individual
GREGORY D LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
(480) 759-0647
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3181
(602) 264-2417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-012095
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167126
—
AZ
Enumeration date
11/07/2014
Last updated
09/11/2019
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