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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY DESROUILLERES, PTA

Active Sole Proprietor

GARY DESROUILLERES, PTA is a Physical Therapy Assistant healthcare provider located in SAN DIEGO, California. NPI 1194603720 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1194603720
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2025 (1.0566610633993 yrs)
Last Updated
Aug 22, 2025
License
52530 (CA)
Sole Proprietor
Yes

Practice Information

Address
3975 5TH AVE STE 100
SAN DIEGO, CA, 921033108
Browse CA providers · Browse ZIP 92103
Phone
6192384318
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAN DIEGO, CA

Name Credential NPI
JAMES WRAY P.T. 1942203328
MR. NORMAN G. HARDMAN PT 1306840657
MS. GLORIA THERESA SIGAFOOS PT OCS CHT 1851392120
CHRISTI LEE DUFFIELD PT 1750366845
LYNN STEIGERWALD PT 1841275922
SEAN MICHAEL MCKEOWN PHYSICAL THERAPIST 1902881881
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.