Tracy Elizabeth Gannon MSPT

NPI 1295046282 - Physical Therapist - 225100000X

NPI Details
NPI 1295046282
Gender Female
Enumeration Date 06/24/2010
Last Updated 06/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5600 POST ROAD
SUITE 116
EAST GREENWICH RI, 02818, US
Phone (401) 885-0069
Fax (401) 885-0071
Business Location
100 HARTSHORN ROAD
PROVIDENCE RI, 02906, US
Phone (401) 885-0069
Fax (401) 885-0071
Toxanomy
Taxonomy Code 225100000X
License State Rhode Island
License Number PT01111
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According to our database, Ms. Tracy Elizabeth Gannon MSPT NPI is 1295046282, taxonomy code is 225100000X and license number is PT01111, license state is located at Rhode Island. Tracy Elizabeth Gannon MSPT physically located at 5600 Post Road, East Greenwich RI, 02818. NPI Number Tracy Elizabeth Gannon MSPT has the Individual type.

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1295046282 NPI number is provided on an as is basis without warranty of any kind. 1295046282 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Elizabeth Gannon MSPT are for informational purposes only.