Provider Demographics
NPI:1437437209
Name:GRIEGO, CHRISTOPHER (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:GRIEGO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SEMEL CIRCLE NW
Mailing Address - Street 2:UNIT 365
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:201-755-7242
Mailing Address - Fax:
Practice Address - Street 1:76 HIGHLAND PAVILION CT
Practice Address - Street 2:SUITE 185
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3169
Practice Address - Country:US
Practice Address - Phone:678-384-0844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist