Dean, Gregory A

Dean, Gregory A is an individual health care provider with primary practice located at 2191 Kenward Ct Sw , Marietta GA 30064-4813. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dean, Gregory A can be contacted via phone (904) 377-1174.

Contact Information

Primary practice address
2191 Kenward Ct Sw Marietta GA 30064-4813
Phone: (904) 377-1174
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008718 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT004504 Georgia

Profile Details

NPI number 1306962170
LBN Legal business name Dean, Gregory A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jan 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306962170 NPPES
Georgia Other 511I650305 MEDICARE PROVIDER NUMBER

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