GREGORY JAMES LIGHT

SOUTH HILL, VA
NPI1912233651
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: VA  2306001013)
Enumeration Date2009-10-31
Last Update Date2009-10-31
Business Address
Mr. GREGORY JAMES LIGHT
400 W 5TH ST
SOUTH HILL, VA 23970-3710
Phone number: 540-305-6869
Mailing Address
Mr. GREGORY JAMES LIGHT
400 W 5TH ST
SOUTH HILL, VA 23970-3710
Phone number: 540-305-6869