Organization
GMD PHYSICAL & OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIL M. DERSOVITZ PT, OTR/L (PRESIDENT)
(866) 613-6801
Entity
Organization
Contact information
Practice address
324 DONALDSON ST, HIGHLAND PARK, NJ 08904-2521
(866) 613-6801
(866) 734-1463
Mailing address
324 DONALDSON ST, HIGHLAND PARK, NJ 08904-2521
(866) 613-6801
(866) 734-1463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017930
NY
225100000X
Physical Therapist
40QA01130400
NJ
225X00000X
Occupational Therapist
012347
NY
225X00000X
Occupational Therapist
46TR00382200
NJ
Other
Enumeration date
02/02/2008
Last updated
02/02/2008
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