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Individual

GREGG A VILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5172 LEAVITT RD, LORAIN, OH 44053-2162
(440) 282-7420
(440) 282-8614
Mailing address
5334 MEADOW LANE CT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-5454
(440) 934-8999

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7455
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2776072
OH
Enumeration date
08/16/2006
Last updated
01/08/2010
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