Kenneth Gerard Grieco PT

NPI 1760633374 - Physical Therapist - 225100000X

NPI Details
NPI 1760633374
Gender Male
Enumeration Date 10/02/2008
Last Updated 10/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
172 CHESTNUT TER
ROCKAWAY NJ, 07866-2411, US
Phone (201) 602-6939
Fax
Business Location
172 CHESTNUT TER
ROCKAWAY NJ, 07866-2411, US
Phone (201) 602-6939
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QA00524800
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According to our database, Kenneth Gerard Grieco PT NPI is 1760633374, taxonomy code is 225100000X and license number is 40QA00524800, license state is located at New Jersey. Kenneth Gerard Grieco PT physically located at 172 Chestnut Ter, Rockaway NJ, 07866-2411. NPI Number Kenneth Gerard Grieco PT has the Individual type.

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1760633374 NPI number is provided on an as is basis without warranty of any kind. 1760633374 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Gerard Grieco PT are for informational purposes only.