Individual
MR. GREGORY MATTHEW MINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2510 BELMAR BLVD # J1-2, WALL, NJ 07719-3948
(732) 681-1122
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(732) 513-5438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01312300
NJ
Other
Enumeration date
12/17/2009
Last updated
01/14/2021
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