TIMOTHY GANNON, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1346705803
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | No | 40QB00317700 (NJ) |
| Physical Therapy Assistant | 225200000X | Yes | 40QB00317700 (NJ) |
Frequently Asked Questions
NPI 1346705803 is the National Provider Identifier for TIMOTHY GANNON, PTA, a Physical Therapy Assistant provider located in Somerset, NJ. This NPI was enumerated on February 8, 2019.
TIMOTHY GANNON, PTA practices at 380 DEMOTT LN, Somerset, NJ 08873.
Quick Facts
- NPI
- 1346705803
- Type
- Individual
- Enumerated
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
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