MS. Lisa Anne Grieco, PT DPT OCS

NPI #1083689145 in Nesconset, New York

Provider Information

NPI Number: 1083689145
Entity Type: Individual
Name: MS. Lisa Anne Grieco, PT DPT OCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT DPT OCS
Enumeration Date: Feb 22, 2006
Last Updated: Apr 4, 2017

Practice Location

Address: 267 SMITHTOWN BLVD
Address 2: SUITE D
City: Nesconset
State: New York
ZIP Code: 11767-2120
Phone: (631) 724-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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