| Doctor Name: | GERALD R ROUSSEAU |
| NPI Number: | 1437124328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1622 |
| Business Practice Address: | 24 Salt Pond Rd H-5 Wakefield, RI - 028794314 |
| Business Phone Number: | 4017928500 |
| Business Fax Number: | 4017928877 |
| Mailing Address: | 300 Tower Hill Rd, Unit 128 NORTH KINGSTOWN |
| State: | RI |
| Postal Code: | 028524814 |
| Phone Number: | 4012958500 |
| Fax Number: | 4012958536 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| 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 |