GREGG EDWARD DEDOMENICO

SMYRNA, DE
NPI1205412483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: DE  J1-0014325)
Enumeration Date2021-03-19
Last Update Date2021-03-19
Business Address
GREGG EDWARD DEDOMENICO PT, DPT, MS, ATC
208 N DUPONT BLVD
SMYRNA, DE 19977-1511
Phone number: 302-539-8389
Mailing Address
GREGG EDWARD DEDOMENICO PT, DPT, MS, ATC
110 CARTAGENA DR
BRICK, NJ 08723-7005
Phone number: 347-609-3038
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