Doctor Name: | MRS. JENNY C GROSS |
NPI Number: | 1417071796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., GCS |
License Number: | 40QA00826500 |
Business Practice Address: | 84 Cold Hill Rd Mendham, NJ - 079452021 |
Business Phone Number: | 9735432500 |
Business Fax Number: | |
Mailing Address: | 14 Brotherton Ave, ROCKAWAY |
State: | NJ |
Postal Code: | 078664801 |
Phone Number: | 9732073984 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00826500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |