Individual
KELLY L GREGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5131 W MONTE VISTA AVE, VISALIA, CA 93277-8880
(559) 679-1889
Mailing address
5131 W MONTE VISTA AVE, VISALIA, CA 93277-8880
(559) 679-1889
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT13949
CA
Other
Enumeration date
03/17/2012
Last updated
03/17/2012
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