Individual
GREGORY T OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2601 NEW JERSEY AVE, WALL TOWNSHIP, NJ 07719-4519
(610) 590-1385
(267) 790-0402
Mailing address
2601 NEW JERSEY AVE, WALL TOWNSHIP, NJ 07719-4519
(610) 590-1385
(267) 790-0402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01042200
NJ
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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