MR. Theodore William Gannon, L. AC.
NPI #1164634192 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1164634192
- Entity Type
- Individual
- Name
- MR. Theodore William Gannon, L. AC.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- L. AC.
- Enumeration Date
- May 3, 2007
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 4725 N FEDERAL HWY
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33308-4603
- Phone
- (954) 229-7908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
| Physical Therapy Assistant |
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