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Gregory D Law

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693

PECOS Enrollment

Based on the most recent information from CMS, provider Gregory D Law does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1720484413
Provider Type
Individual
Full Name
Law, Gregory D
Credential
PT

Gender
Male
Sole Proprietor
No
Enumeration Date
11/7/2014
Last Updated
9/11/2019

Contact Information

Practice Location

4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693

(480) 763-5808

(480) 759-0647

Mailing Location

2910 N 3rd Ave, Phoenix, AZ 85013-4434

(602) 406-3181

(602) 264-2417

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License LPT-012095 Arizona

Provider Identifiers

ID	Description	Issuer
ID 167126	Description Medicaid	Issuer Unlisted Arizona

Gregory D Law

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Parks, Madison Lynsee

Frank, Kelsey

Hlebak, Kara

Anthony W Harden Physical Therapy

Wickey, Bree'Anna

Clark, Matthew Austin

Tindall, Julie L

Gorman, Christen Kay

Christensen, Kaylene M

Spooner Ahwatukee Hand Therapy, Pc