Individual
PAUL R GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1300 N 500 E SUITE 120, SUITE 120, LOGAN, UT 84341
(435) 716-2880
(435) 716-2811
Mailing address
PO BOX 236, MILLVILLE, UT 84326-0236
(435) 716-2898
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
335073-4202
UT
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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