Doctor Name: | MR. GERALD A GRZECHOWIAK |
NPI Number: | 1184848533 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT6872 |
Business Practice Address: | 1320 Tara Hills Dr Suite D Pinole, CA - 945642532 |
Business Phone Number: | 5107247600 |
Business Fax Number: | 5107248080 |
Mailing Address: | 1320 Tara Hills Dr, Suite D PINOLE |
State: | CA |
Postal Code: | 945642532 |
Phone Number: | 5107247600 |
Fax Number: | 5107248080 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |