Provider Demographics
NPI:1598089138
Name:GRIEGER, GARY D (MPT)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:D
Last Name:GRIEGER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5640 SOUTHWYCK BLVD
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614
Mailing Address - Country:US
Mailing Address - Phone:877-511-9739
Mailing Address - Fax:419-745-8819
Practice Address - Street 1:6495 E BROAD ST
Practice Address - Street 2:SUITE E/F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:877-511-9739
Practice Address - Fax:419-745-8819
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHPT.012195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist