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