Individual
GREGG W CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
84 WILLIMANSETT ST, SOUTH HADLEY, MA 01075-3062
(413) 533-8501
(413) 533-8502
Mailing address
65 SPRINGFIELD RD, WESTFIELD, MA 01085-1855
(413) 568-1388
(413) 568-1389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332500
—
MA
01
—
Y67874
BCBS
MA
Enumeration date
04/06/2006
Last updated
07/08/2007
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