Doctor Name: | MR. GREGORY WORTHING MASIKO |
NPI Number: | 1699773960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT |
License Number: | PT016673 |
Business Practice Address: | 331 Wilmington Pike Suite 1 Glen Mills, PA - 193422277 |
Business Phone Number: | 6105585866 |
Business Fax Number: | |
Mailing Address: | 420 Bainbridge St, PHILADELPHIA |
State: | PA |
Postal Code: | 191471568 |
Phone Number: | 2156291270 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |