NPI 1386686244

Gregory Wayne Petty, PHYSICALTHERAPIST

Practitioner Physical Therapist Monroeville, AL

Practice location

Address: 2071 S Alabama Ave, Monroeville, AL 36460-8681
Phone: (251) 575-1933
Fax: (251) 575-2807
Mailing address: 14114 Alabama Street, Jay, FL 32565

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2257 (AL)

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Registry record

NPI: 1386686244
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 19 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.