Individual
DESTINY GERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
(207) 777-4200
Mailing address
4002 EXECUTIVE PARK BLVD, STE 800, SOUTHPORT, NC 28461-9069
(910) 477-6236
(910) 477-6357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5308
ME
Other
Enumeration date
06/04/2019
Last updated
08/23/2020
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