Provider Demographics
NPI:1033839881
Name:GREBELSKY, ERICA (PT)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:GREBELSKY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3552
Mailing Address - Country:US
Mailing Address - Phone:908-442-4432
Mailing Address - Fax:
Practice Address - Street 1:187 COUNTY ROAD 519
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1900
Practice Address - Country:US
Practice Address - Phone:908-847-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA0211350225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist