MR. Russell D Gannon, MSPT
NPI #1376643882 in Birmingham, Alabama
Provider Information
- NPI Number
- 1376643882
- Entity Type
- Individual
- Name
- MR. Russell D Gannon, MSPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- MSPT
- Enumeration Date
- Sep 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 616 GADSDEN HWY
- Address 2
- SUITE A
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35235-2501
- Phone
- (205) 833-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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