Individual
GARY OSIRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3146 N JOG RD, 12211, WEST PALM BEACH, FL 33411-7416
(772) 480-8871
Mailing address
3146 N JOG RD, 12211, WEST PALM BEACH, FL 33411-7416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00283900
NJ
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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