Timothy Gannon, PTA
NPI #1346705803 in Somerset, New Jersey
Provider Information
- NPI Number
- 1346705803
- Entity Type
- Individual
- Name
- Timothy Gannon, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
Practice Location
- Address
- 380 DEMOTT LN
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-2762
- Phone
- (800) 571-6511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
| Physical Therapy Assistant |
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