Provider Demographics
NPI:1750435418
Name:GREGOROWICZ, MICHALINE A (CMT)
Entity type:Individual
Prefix:
First Name:MICHALINE
Middle Name:A
Last Name:GREGOROWICZ
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-2404
Mailing Address - Country:US
Mailing Address - Phone:570-489-0644
Mailing Address - Fax:
Practice Address - Street 1:PC 5 MORGAN HWY
Practice Address - Street 2:SUITE 4, NE REHABILITATION ASSOCIATES
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508
Practice Address - Country:US
Practice Address - Phone:570-344-3788
Practice Address - Fax:570-614-0212
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist