Doctor Name: | JEREMY JON GRESH |
NPI Number: | 1891753901 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT017553 |
Business Practice Address: | 580 Reed Rd Suite 3 Broomall, PA - 190083655 |
Business Phone Number: | 6103566211 |
Business Fax Number: | |
Mailing Address: | 531 Janeway Dr, Apartment 185 NORRISTOWN |
State: | PA |
Postal Code: | 194013102 |
Phone Number: | 6102787972 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT017553 |
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 |