Mrs. Lisa Marie Gregory
Physical Therapist - Pediatrics
3104 Skinner Mill Rd
Augusta
, Georgia 30909-1968
Mrs. Lisa Marie Gregory
Physical Therapist - Pediatrics
3104 Skinner Mill Rd
Augusta
, Georgia 30909-1968
(803) 202-7290
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Lisa Marie Gregory
- 102 Cascade Dr
- North Augusta, SC
- Zip : 29841-2163
- Phone : (803) 202-7290
Second Address
- Mrs. Lisa Marie Gregory
- 3104 Skinner Mill Rd
- Augusta, GA
- Zip : 30909-1968
- Phone : (706) 522-4222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT005643 | GA |
National Provider Identifier
| NPI | 1104430040 |
|---|---|
| Provider Name | Mrs. Lisa Marie Gregory |
| First Address | North Augusta, SC 29841-2163 |
| Second Address | Augusta, GA 30909-1968 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2020 |
| Last Update Date | 08/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.