Individual
GREGG SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 535-3685
Mailing address
305 N CLAY ST, TAYLORVILLE, IL 62568-1801
(217) 827-6293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019170
IL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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