Individual
GREGORY THIELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 LINDIS FARNE AVE APT 4304, HADDON TOWNSHIP, NJ 08108-2761
(856) 266-7863
Mailing address
100 LINDIS FARNE AVE APT 4304, HADDON TOWNSHIP, NJ 08108-2761
(856) 266-7863
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
40QA01161900
NJ
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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