Erik Brian Gregersen PT

NPI 1235422064 - Physical Therapist - 225100000X

NPI Details
NPI 1235422064
Gender Male
Enumeration Date 05/26/2011
Last Updated 05/26/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3263 EATON RD
GREEN BAY WI, 54311-6830, US
Phone (920) 433-6700
Fax
Business Location
3263 EATON RD
GREEN BAY WI, 54311-6830, US
Phone (920) 433-6700
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 11701-024
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According to our database, Erik Brian Gregersen PT NPI is 1235422064, taxonomy code is 225100000X and license number is 11701-024, license state is located at Wisconsin. Erik Brian Gregersen PT physically located at 3263 Eaton Rd, Green Bay WI, 54311-6830. NPI Number Erik Brian Gregersen PT has the Individual type.

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1235422064 NPI number is provided on an as is basis without warranty of any kind. 1235422064 is maintained by the National Plan & Provider Enumeration System. The contents of Erik Brian Gregersen PT are for informational purposes only.