Doctor Name: | GEORGE MICHAEL GROSS |
NPI Number: | 1770806911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3784 |
Business Practice Address: | 165 Court St Brockton, MA - 023024608 |
Business Phone Number: | 5088970007 |
Business Fax Number: | 5088970020 |
Mailing Address: | 165 Court St, BROCKTON |
State: | MA |
Postal Code: | 023024608 |
Phone Number: | 5088970007 |
Fax Number: | 5088970020 |
NPI Enumeration Date: | 03/02/2010 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |