Individual
MR. LAURENCE PAUL GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS, M.ED.
Contact information
Practice address
170 POND RD, WEST TISBURY, MA 02575-0130
(508) 696-9171
(508) 696-0770
Mailing address
PO BOX 130, WEST TISBURY, MA 02575-0130
(508) 696-9171
(508) 696-0770
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
AH 3703-PT
MA
2251X0800X
Orthopedic Physical Therapist
Primary
AH 3703-PT
MA
Other
Enumeration date
01/30/2007
Last updated
02/17/2010
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