Tabitha Lyn Ganske, PTA
NPI #1164023982 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1164023982
- Entity Type
- Individual
- Name
- Tabitha Lyn Ganske, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- PTA
- Enumeration Date
- Nov 6, 2020
- Last Updated
- Nov 6, 2020
Practice Location
- Address
- 27 AUERBACH PL
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1596
- Phone
- (618) 288-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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