DARRELL R GANN

JONESBORO, AR
NPI1225358021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 2401)
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
DARRELL R GANN PTA
6040 BEAVER CREEK
JONESBORO, AR 72404
Phone number: 870-219-2107
Mailing Address
DARRELL R GANN PTA
6040 BEAVER CREEK LN
JONESBORO, AR 72404-9558
Phone number: 870-219-2107
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