| Doctor Name: | JOHN GAUDRY |
| NPI Number: | 1659433944 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT02036 |
| Business Practice Address: | 1317 Cooper Foster Park Rd Amherst, OH - 440011201 |
| Business Phone Number: | 4402823341 |
| Business Fax Number: | 4402829153 |
| Mailing Address: | 5550 Laura Ln, LORAIN |
| State: | OH |
| Postal Code: | 440531914 |
| Phone Number: | 4409600444 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT02036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |