Gregg Edward Dedomenico, PT, DPT, MS, ATC

NPI #1205412483 in Smyrna, Delaware

Provider Information

NPI Number: 1205412483
Entity Type: Individual
Name: Gregg Edward Dedomenico, PT, DPT, MS, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, MS, ATC
Enumeration Date: Mar 19, 2021
Last Updated: Mar 19, 2021

Practice Location

Address: 208 N DUPONT BLVD
City: Smyrna
State: Delaware
ZIP Code: 19977-1511
Phone: (302) 539-8389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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