Individual
THOMAS AIDAN GERRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
141 MARK TREE RD, CENTEREACH, NY 11720-2221
(631) 467-4235
Mailing address
11 PLEASANT DR, EAST SETAUKET, NY 11733-1918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012681-01
NY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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