DR. Tara Gannon, DPT

NPI #1467838466 in Ardmore, Pennsylvania

Provider Information

NPI Number: 1467838466
Entity Type: Individual
Name: DR. Tara Gannon, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 3, 2015
Last Updated: Aug 3, 2015

Practice Location

Address: 233 E LANCASTER AVE
Address 2: SUITE 100
City: Ardmore
State: Pennsylvania
ZIP Code: 19003-2321
Phone: (610) 642-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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