Individual
GREGG CHODKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
J10001313
DE
225100000X
Physical Therapist
Primary
J1-0001313
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001040201
—
DE
01
—
S97321
BCBS OF DE
DE
Enumeration date
04/19/2006
Last updated
05/22/2024
Update your record
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