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General NPI Number Information
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NPI Number | 1245024330
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Entity Type | Organization
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Legal Business Name | DENISE GERRITY PHYSICAL THERAPIST LLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 1935 E 70TH ST
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City | SHREVEPORT
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State | LA
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Zip | 71105-0003
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Country | US
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Telephone | 318-408-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 7054 CRESWELL RD
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City | SHREVEPORT
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State | LA
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Zip | 71106-4713
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Country | US
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Telephone | 256-508-9129
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENISE GERRITY
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Credential | DPT
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Telephone | 318-408-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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