STACEY WADE GANN

MOUNTAIN BRK, AL
NPI1568906014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA8197)
Enumeration Date2016-12-16
Last Update Date2016-12-16
Business Address
Mr. STACEY WADE GANN LPTA
201 OFFICE PARK DR STE 150
MOUNTAIN BRK, AL 35223-2400
Phone number: 205-879-6447
Mailing Address
Mr. STACEY WADE GANN LPTA
201 OFFICE PARK DR STE 150
MOUNTAIN BRK, AL 35223-2400
Phone number: 205-278-2250
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