Individual provider · Type 1 NPI

Christopher Gannon

Rehabilitation Practitioner · Covina, CA

NPI number 1073741906 Active

Practice location

4740 N Grand Ave
Covina, CA 91724-2005

Mailing address

4740 N. Grand Avenue
Covina, CA 91724

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1073741906

Christopher Gannon's National Provider Identifier is 1073741906, issued on Jun 30, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Covina, CA. The record was last updated on Jun 30, 2009.