Individual
MS. GWENDOLYN ELIZABETH GREGORY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(810) 635-1019
(810) 635-1008
Mailing address
13450 NORTH RD, FENTON, MI 48430-1073
(810) 629-5584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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