Doctor Name: | MR. SCOTT W GREGORY |
NPI Number: | 1275596512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT051745 |
Business Practice Address: | 1821 Wilshire Blvd Ste 400 Santa Monica, CA - 90403 |
Business Phone Number: | 3108282188 |
Business Fax Number: | 3108291379 |
Mailing Address: | 12710 Matteson Ave, #10 LOS ANGELES |
State: | CA |
Postal Code: | 90066 |
Phone Number: | 3105708424 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT051745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |