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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306962170 | NPPES |
| Georgia | Other | 511I650305 | MEDICARE PROVIDER NUMBER |
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