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Organization
GARY A. DESPRES PHYSICAL THERAPY P.C.
Active
Organization
GARY A. DESPRES PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DESPRES DPT (PRESIDENT)
(631) 806-2179
Entity
Organization
Contact information
Practice address
53345 MAIN ROAD, BUILDING 8 UNIT 1, SOUTHOLD, NY 11971-4643
(631) 806-2179
Mailing address
875 S HARBOR RD, SOUTHOLD, NY 11971-4516
(631) 806-2179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
03/22/2022
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