MR. Gary Shane Zaccagnini, PTA
NPI #1427793165 in Saint George, South Carolina
Provider Information
- NPI Number
- 1427793165
- Entity Type
- Individual
- Name
- MR. Gary Shane Zaccagnini, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 5502 MEMORIAL BLVD UNIT 2
- City
- Saint George
- State
- South Carolina
- ZIP Code
- 29477-2286
- Phone
- (843) 638-5122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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