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
ZIP Code
29477-2286
Phone
(843) 638-5122

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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