| Doctor Name: | DR. LETHA DENISE GIDHARRY |
| NPI Number: | 1316027055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT 20354 |
| Business Practice Address: | 3201 W Commercial Blvd Suite 116 Fort Lauderdale, FL - 333093440 |
| Business Phone Number: | 8008868108 |
| Business Fax Number: | |
| Mailing Address: | 9307 Avalon Dr, RANDOLPH |
| State: | MA |
| Postal Code: | 023681564 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 20354 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |