Individual
MR. GREGORY JAMES LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 5TH ST, SOUTH HILL, VA 23970-3710
(540) 305-6869
Mailing address
400 W 5TH ST, SOUTH HILL, VA 23970-3710
(540) 305-6869
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2306001013
VA
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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