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Organization
GATOR PHYSICAL THERAPY
Active
Organization
GATOR PHYSICAL THERAPY
Active
Other names
Gator PT
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY DESPAIN PT, DPT (MANAGER, PHYSICAL THERAPIST)
(703) 554-3484
Entity
Organization
Contact information
Practice address
295 TERRANOVA BLVD, WINTER HAVEN, FL 33884-3425
(703) 220-6900
(863) 268-7314
Mailing address
295 TERRANOVA BLVD, WINTER HAVEN, FL 33884-3425
(703) 220-6900
(863) 268-7314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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