Individual
ALEXA MARIE GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1868 E BEECHER HILL RD, OWEGO, NY 13827-3815
(607) 205-5354
Mailing address
1868 E BEECHER HILL RD, OWEGO, NY 13827-3815
(607) 205-5354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050739
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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