Individual
MR. GARY SAMUEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
773 E ROUTE 70, STE E110, MARLTON, NJ 08053-2371
(856) 282-0339
(856) 334-8654
Mailing address
4175 VETERANS MEMORIAL HWY, STE 202, RONKONKOMA, NY 11779-7639
(856) 797-6778
(856) 797-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00312500
NJ
Other
Enumeration date
11/10/2006
Last updated
08/30/2016
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