Most Relevant Information
Provider Data
| NPI Number: | 1003536129 |
| Provider Name: | NICOLE GREGORY |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
200 CONTINENTAL DR STE 401
NEWARK
DE
197134337
Practice Location Phone/Fax
| Phone: | 8887013131 |
| Fax: |
Provider Mailing Location
850 TOWBIN AVE
LAKEWOOD
NJ
087015928
Provider Mailing Phone/Fax
| Phone: | 7325153709 |
| Fax: |