Individual
GERALD M. DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2547 S BROAD ST, PHILADELPHIA, PA 19148-4309
(215) 462-3303
(215) 462-3304
Mailing address
2547 S BROAD ST, PHILADELPHIA, PA 19148-4309
(215) 462-3303
(215) 462-3304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007914L
PA
Other
Enumeration date
04/17/2006
Last updated
05/27/2014
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