Individual
GBATI DJERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 605-8411
Mailing address
3301 SW 42ND PL # A, GAINESVILLE, FL 32608-2624
(352) 328-7676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30122
FL
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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