GREGORY KENNETH LEFEVER

GOODYEAR, AZ
NPI1053737023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  10511A)
Enumeration Date2014-03-13
Last Update Date2014-03-13
Business Address
GREGORY KENNETH LEFEVER PTA
15364 W PIERSON ST
GOODYEAR, AZ 85395-7736
Phone number: 602-390-2848
Mailing Address
GREGORY KENNETH LEFEVER PTA
15364 W PIERSON ST
GOODYEAR, AZ 85395-7736
Phone number: 602-390-2848
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