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Individual
MR. GIL M DERSOVITZ
Active
Individual
MR. GIL M DERSOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017930
NY
225100000X
Physical Therapist
40QA01130400
NJ
225X00000X
Occupational Therapist
012347
NY
225X00000X
Occupational Therapist
46TR00382200
NJ
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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