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1891353918
DESTINY GERRY
LEWISTON, ME
NPI
1891353918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT5308)
Enumeration Date
2019-06-04
Last Update Date
2020-08-23
Business Address
DESTINY GERRY PT, DPT
102 CAMPUS AVE
LEWISTON, ME 04240-6019
Phone number: 207-777-4200
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Mailing Address
DESTINY GERRY PT, DPT
4002 EXECUTIVE PARK BLVD STE 800
SOUTHPORT, NC 28461-9069
Phone number: 910-477-6236
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