Doctor Name: | GISELLE MARIE LEARY |
NPI Number: | 1104054691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 11062 |
Business Practice Address: | 484 Main St Worcester, MA - 016081893 |
Business Phone Number: | 8002442756 |
Business Fax Number: | 5087516309 |
Mailing Address: | 40 Crystal St, WAKEFIELD |
State: | MA |
Postal Code: | 018804030 |
Phone Number: | 7812452603 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |