MR. Stacey Wade Gann, LPTA

NPI #1568906014 in Mountain Brk, Alabama

Provider Information

NPI Number: 1568906014
Entity Type: Individual
Name: MR. Stacey Wade Gann, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Dec 16, 2016
Last Updated: Dec 16, 2016

Practice Location

Address: 201 OFFICE PARK DR STE 150
City: Mountain Brk
State: Alabama
ZIP Code: 35223-2400
Phone: (205) 879-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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