Individual
GREGORY JOHN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
24-17 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3429
(201) 794-4417
(201) 794-4419
Mailing address
126 HIGHFIELD LN, NUTLEY, NJ 07110-2439
(973) 803-1987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02267300
NJ
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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