Individual provider · Type 1 NPI

Lisa Marie Gregory, PT

Pediatric Physical Therapist · Augusta, GA

NPI number 1104430040 Active

Practice location

3104 Skinner Mill Rd
Augusta, GA 30909-1968

Call (706) 522-4222 Map

Mailing address

102 Cascade Dr
North Augusta, SC 29841-2163

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT005643 (GA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1104430040

Lisa Marie Gregory, PT's National Provider Identifier is 1104430040, issued on Sep 8, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Augusta, GA. The record was last updated on Sep 8, 2020.