Gary A. Despres Physical Therapy P.c.

NPI #1144999053 in Southold, New York

Provider Information

NPI Number: 1144999053
Entity Type: Organization
Organization Name: Gary A. Despres Physical Therapy P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Sep 13, 2021
Last Updated: Mar 22, 2022

Practice Location

Address: 53345 MAIN ROAD
Address 2: BUILDING 8 UNIT 1
City: Southold
State: New York
ZIP Code: 11971-4643
Phone: (631) 806-2179

Authorized Official

Name: GARY DESPRES, DPT
Title: PRESIDENT
Phone: (631) 806-2179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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