GREGORY ERIC ROSEQUIST

CLINTON, NJ
NPI1174031975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01463600)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
GREGORY ERIC ROSEQUIST PT, DPT, SCS, ATC
22 WALMART PLZ
CLINTON, NJ 08809-1263
Phone number: 908-847-5210
Mailing Address
GREGORY ERIC ROSEQUIST PT, DPT, SCS, ATC
30 THE CRES APT 1
MONTCLAIR, NJ 07042-2649
Phone number: 973-229-6075