Provider Demographics
NPI:1912066010
Name:MACGREGOR, NERY ARLENE (PTA)
Entity Type:Individual
Prefix:
First Name:NERY
Middle Name:ARLENE
Last Name:MACGREGOR
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2215 N ALEXANDER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3433
Mailing Address - Country:US
Mailing Address - Phone:281-427-1900
Mailing Address - Fax:281-427-1919
Practice Address - Street 1:2215 N ALEXANDER DR
Practice Address - Street 2:SUITE B
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3433
Practice Address - Country:US
Practice Address - Phone:281-427-1900
Practice Address - Fax:281-427-1919
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2050806225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant