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Individual

GREGG INOCENCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1409 S SALISBURY BLVD, UNTIS C & D, SALISBURY, MD 21801-7151
(667) 330-1061
(410) 334-3730
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24804
MD
225100000X
Physical Therapist
J1-0003104
DE

Other

Enumeration date
11/14/2013
Last updated
01/22/2015
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