NPI 1013662154

Charles J Greengoss

Practitioner Developmental Therapist Rockford, MI

Practice location

Address: 6820 Madrone Dr, Rockford, MI 49341-9578
Phone: (480) 313-6777
Mailing address: 800 Judson Ave APT 201, Evanston, IL 60202-2452

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Michigan →

Registry record

NPI: 1013662154
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2022
Record last updated: 17 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.