# GATOR PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gator PT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679120554
- **Authorized official:** CHRISTY DESPAIN PT, DPT (MANAGER, PHYSICAL THERAPIST)
- **Authorized official phone:** (703) 554-3484

## Contact information

- **Practice address:** 295 TERRANOVA BLVD, WINTER HAVEN, FL 33884-3425
- **Practice address phone:** (703) 220-6900
- **Practice address fax:** (863) 268-7314
- **Mailing address:** 295 TERRANOVA BLVD, WINTER HAVEN, FL 33884-3425
- **Mailing address phone:** (703) 220-6900
- **Mailing address fax:** (863) 268-7314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2019
- **Last updated:** 08/24/2019