Madison Gore, DPT

NPI #1053038323 in Southold, New York

Provider Information

NPI Number: 1053038323
Entity Type: Individual
Name: Madison Gore, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

Address: 46520 COUNTY ROAD 48
City: Southold
State: New York
ZIP Code: 11971-5040
Phone: (631) 765-9389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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