Individual
GREGORY BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
Mailing address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01646700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01646700
PHYSICAL THERAPY LICENCSE
NJ
Enumeration date
02/29/2016
Last updated
11/29/2016
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