Gregory, Gwendolyn Elizabeth

Gregory, Gwendolyn Elizabeth is an individual health care provider with primary practice located at 2345 Main St , Glastonbury CT 06033-2211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gregory, Gwendolyn Elizabeth can be contacted via phone (810) 635-1019.

Contact Information

Primary practice address
2345 Main St Glastonbury CT 06033-2211
Phone: (810) 635-1019
Fax: (810) 635-1008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1790750131
LBN Legal business name Gregory, Gwendolyn Elizabeth
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 19 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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