Samantha Gannaway, PTA

NPI #1205507399 in Mc Gehee, Arkansas

Provider Information

NPI Number: 1205507399
Entity Type: Individual
Name: Samantha Gannaway, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 101 SAMMY FARRELL RD
City: Mc Gehee
State: Arkansas
ZIP Code: 71654-9770
Phone: (870) 877-1675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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