Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY GOLDBLATT, MPT, PT
ActiveHand Therapy · LAS CRUCES, NM
Registration Details
- NPI Number
- 1790780385
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2005 (20.839402382398 yrs)
- Last Updated
- Mar 10, 2022
- Licenses
-
1592 (NM)PT1592 (NM)
Practice Information
- Address
-
1090 MED PARK DR.LAS CRUCES, NM, 880053236Browse NM providers · Browse ZIP 88005
- Phone
- 5755237243
- Fax
- 5755255641
- Primary Specialty
-
Hand Therapy
2251G0304X
- Additional Specialty
- Hand Therapy
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.