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

DR. GARY DESPRES, P.T.

Active Sole Proprietor

DR. GARY DESPRES, P.T. is a Physical Therapy Assistant healthcare provider located in SOUTHOLD, New York. NPI 1639380892 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHOLD, NY

Registration Details

NPI Number
1639380892
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2007 (19.038794170003 yrs)
Last Updated
Jul 12, 2022
Licenses
62 028374 (NY)
028374 (NY)
Sole Proprietor
Yes

Practice Information

Address
53345 ROUTE 25 BLDG 8-1
SOUTHOLD, NY, 119714643
Browse NY providers · Browse ZIP 11971
Phone
6317658760
Fax
6317658761
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SOUTHOLD, NY

Name Credential NPI
MS. LYNN A CATALDO P.T. 1134196405
JANET ELAINE MARIN PT 1891818696
DR. HILDY BROWN MSPT, DPT 1487859484
KAREN CHRISTINE MITCHELL P.T. 1245427665
MARY E WHYARD PT 1396995171
MR. DANIEL R CHARLEBOIS PT 1407181324
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.