Individual
MR. GREGORY WAYNE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 S MOON AVE STE 104, BRANDON, FL 33511-5716
(813) 651-3900
(813) 651-3911
Mailing address
PO BOX 7746, SAINT PETERSBURG, FL 33734-7746
(727) 898-5001
(727) 894-0554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19408
FL
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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