Individual
GREGORY S BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA01388500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QA01388500
LICENSE
NJ
Enumeration date
03/07/2011
Last updated
03/07/2011
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