Basic Information
| Provider Information | |||||||||
| NPI: | 1518064179 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GREER | ||||||||
| FirstName: | TIMOTHY | ||||||||
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| Credential: | MSPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 KING GEORGE RD | ||||||||
| Address2: | |||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080341328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564140906 | ||||||||
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| Practice Location | |||||||||
| Address1: | 176 ROUTE 70 | ||||||||
| Address2: | SUITE 10 | ||||||||
| City: | MEDFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080558704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6097147733 | ||||||||
| FaxNumber: | 6097147750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA00831100 | NJ | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251S0007X | 40QA00831100 | NJ | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | 2251X0800X | 40QA00831100 | NJ | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.