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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY C IZENOUR, PTA

Active Sole Proprietor

GREGORY C IZENOUR, PTA is a Occupational Therapist healthcare provider located in SMYRNA, Georgia. NPI 1174268171 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SMYRNA, GA

Registration Details

NPI Number
1174268171
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2022 (4.2558920192024 yrs)
Last Updated
May 3, 2022
License
PTA004519 (GA)
Sole Proprietor
Yes

Practice Information

Address
1483 SPRINGLEAF CIR SE
SMYRNA, GA, 300802403
Browse GA providers · Browse ZIP 30080
Phone
4045102927
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SMYRNA, GA

Name Credential NPI
MR. JEFFREY J REMSEN PTA 1104099498
SARA GUEVARA 1255708699
MRS. LEIGH BURGER PTA 1326410150
SHARON AVA JOHNSON 1518461763
MR. NORMAN ROLAND CHERRY PTA 1427754340
MR. SELEZTINO GONZALEZ 1023801073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.