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Individual
LEONARD A GRIECO
Active
Individual
LEONARD A GRIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000355E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025600602
UNIVERA
NY
05
—
0016785750006
—
PA
01
—
3110682
AETNA
PA
01
—
669114
BLUE SHIELD
PA
01
—
P00111335
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
05/06/2008
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