NPIRadar

Gregory Chadwick Idell, P.T. Valid NPI

Individual provider · Physical Therapist · Pompano Beach, FL

NPI
1942480827
Type
Individual (Type 1)
Primary specialty
Physical Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225100000X
License number
PT20008 (FL)
Sex
Male
Sole proprietor
No
Enumerated
2007-11-08
Last updated
2007-11-08
Practice location
1759 Ne 40th Pl, Apt 602
Pompano Beach, FL 33064-9202
(561) 271-2142

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