Individual
BRIEL GRADINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-1131
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
041499
NY
2251P0200X
Pediatric Physical Therapist
Primary
40QA02020800
NJ
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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