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Kenneth Gerard Grieco, PT

Physical Therapist in Rockaway, NJ. Individual provider (NPI-1).

NPI number1760633374
StatusActive
Last updated in NPPESOct 2, 2008

Details

NPI
1760633374
Entity type
Individual (NPI-1)
Name
Kenneth Gerard Grieco
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 2, 2008
Last updated
Oct 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA00524800NJYes

Practice location

172 Chestnut Ter
Rockaway, NJ 07866-2411

Phone 201-602-6939

Mailing address

172 Chestnut Ter
Rockaway, NJ 07866-2411

Phone 201-602-6939

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