Individual
DAVID GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
733 VOLVO PKWY, SUITE 300, CHESAPEAKE, VA 23320-1609
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05501
MEDICARE PTAN
VA
Enumeration date
02/05/2007
Last updated
07/29/2015
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