Individual
ROBERT JOHN GANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
366 OCONNOR RD, NORTH BABYLON, NY 11703-2522
(631) 649-4379
Mailing address
366 OCONNOR RD, NORTH BABYLON, NY 11703-2522
(631) 649-4379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
017373-01
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
008108-1
NY
Other
Enumeration date
11/23/2009
Last updated
01/03/2024
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