Charles J Greengoss
Charles J Greengoss is a Developmental Therapist in Rockford, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6820 Madrone DrRockford, MI 49341-9578
Phone: (480) 313-6777
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1013662154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 17, 2022 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 800 Judson Ave Apt 201, Evanston, IL 60202-2452 |
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