GERALD TANNER

WICHITA FALLS, TX
NPI1801084611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2054850)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
-- GERALD TANNER PTA
1101 GRACE ST
WICHITA FALLS, TX 76301-4414
Phone number: 940-720-5120
Mailing Address
-- GERALD TANNER PTA
1219 DANBERRY ST
BURKBURNETT, TX 76354-3121
Phone number: 940-569-2619
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