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1104430040
LISA MARIE GREGORY
AUGUSTA, GA
NPI
1104430040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: GA PT005643)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
Mrs. LISA MARIE GREGORY PT
3104 SKINNER MILL RD
AUGUSTA, GA 30909-1968
Phone number: 706-522-4222
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Mailing Address
Mrs. LISA MARIE GREGORY PT
102 CASCADE DR
NORTH AUGUSTA, SC 29841-2163
Phone number: 803-202-7290
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