Most Relevant Information
Provider Data
| NPI Number: | 1003583030 |
| Provider Name: | DORSEY GRIEVE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2021 |
| Last Updated: | 08/26/2021 |
Provider Practice Location
332 N 9TH ST
SURF CITY
NJ
080085342
Practice Location Phone/Fax
| Phone: | 2152644966 |
| Fax: |
Provider Mailing Location
332 N 9TH ST
SURF CITY
NJ
080085342
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |