JOHNATHAN LEDEL GANNAWAY

HIXSON, TN
NPI1588765275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  7565)
Enumeration Date2006-09-26
Last Update Date2013-12-17
Business Address
JOHNATHAN LEDEL GANNAWAY D.P.T.
2125 NORTHPOINT BLVD
HIXSON, TN 37343-4072
Phone number: 423-875-3376
Mailing Address
JOHNATHAN LEDEL GANNAWAY D.P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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