MRS. TAMMY GAGNON, PTA

Physical Therapy Assistant

Active Individual
NPI: 1487953592

Practice Address

W6990 S SILVER LAKE RD
Wautoma, WI 54982

Phone: (920) 787-4766

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 1129-019 (WI)

Frequently Asked Questions

NPI 1487953592 is the National Provider Identifier for MRS. TAMMY GAGNON, PTA, a Physical Therapy Assistant provider located in Wautoma, WI. This NPI was enumerated on March 16, 2011.
MRS. TAMMY GAGNON, PTA practices at W6990 S SILVER LAKE RD, Wautoma, WI 54982.

Quick Facts

NPI
1487953592
Type
Individual
Enumerated
Mar 16, 2011
Last Updated
Mar 16, 2011

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