Individual provider · NPI-1

Zachary Andrew Gann, PTA

Physical Medicine & Rehabilitation · Anchorage, AK

NPI number1740820802
StatusActive
Last updated in NPPESJan 7, 2020

Details

NPI
1740820802
Entity type
Individual (NPI-1)
Name
Zachary Andrew Gann
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 7, 2020
Certification date
Jan 7, 2020
Last updated
Jan 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationPTA21721FLYes

Practice location

6311 Debarr Rd Ste J
Anchorage, AK 99504-1777

Phone 907-231-6268

Mailing address

177 Peters Rd
Fayetteville, GA 30214-2810

Phone 407-340-3483

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