Individual provider · Type 1 NPI

Gary Desrouilleres, PTA

Physical Therapist · San Diego, CA

NPI number 1194603720 Active

Practice location

3975 5th Ave Ste 100
San Diego, CA 92103-3108

Call (619) 238-4318 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X52530 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1194603720

Gary Desrouilleres, PTA's National Provider Identifier is 1194603720, issued on Aug 22, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in San Diego, CA. The record was last updated on Aug 22, 2025.