Brandon Gannon

NPI #1962105486 in Elkhorn, Nebraska

Provider Information

NPI Number: 1962105486
Entity Type: Individual
Name: Brandon Gannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 23, 2023
Last Updated: Mar 23, 2023

Practice Location

Address: 1405 N 205TH ST STE 140
City: Elkhorn
State: Nebraska
ZIP Code: 68022-4740
Phone: (402) 289-5013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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