Provider Demographics
NPI:1699184903
Name:TOZZI, GREGORY M (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:M
Last Name:TOZZI
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 ODELL PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-2975
Mailing Address - Country:US
Mailing Address - Phone:203-675-4441
Mailing Address - Fax:
Practice Address - Street 1:815 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1823
Practice Address - Country:US
Practice Address - Phone:336-272-7102
Practice Address - Fax:336-217-7237
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer