Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VINCENT GARY PETRACCO, DPT
ActiveVINCENT GARY PETRACCO, DPT is a Physical Therapy Assistant healthcare provider located in WALL TOWNSHIP, New Jersey. NPI 1619487444 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WALL TOWNSHIP, NJ
Registration Details
- NPI Number
- 1619487444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2017 (8.854982542865 yrs)
- Last Updated
- Feb 7, 2020
- License
-
40QA01741300 (NJ)
Practice Information
- Address
-
4810 BELMAR BLVDWALL TOWNSHIP, NJ, 077536952Browse NJ providers · Browse ZIP 07753
- Phone
- 7329385333
- Fax
- 7329385680
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WALL TOWNSHIP, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. CAROL J. CUFF | PT, DPT | 1104808286 |
| VIVIAN CONNELLY | PT | 1851310072 |
| MS. MA JEANETTE ANDRES REYES | P.T. | 1023102829 |
| TARA JOAN HEALY | P.T. | 1730395971 |
| MRS. KAREN MARIE NEILSON | PT | 1730395955 |
| JOHN T BARRY | DPT | 1740529908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.