Susan Gammon Pt, LLC

NPI #1275078131 in Venice, Florida

Provider Information

NPI Number: 1275078131
Entity Type: Organization
Organization Name: Susan Gammon Pt, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 3, 2017
Last Updated: Jan 3, 2017

Practice Location

Address: 500 ROCKLEY BLVD
City: Venice
State: Florida
ZIP Code: 34293-4300
Phone: (561) 512-7068

Authorized Official

Name: SUSAN GAMMON, PT
Title: OWNER
Phone: (561) 512-7068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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