Individual provider · Type 1 NPI

Theodore William Gannon, L. AC.

Physical Therapy Assistant · Fort Lauderdale, FL

NPI number 1164634192 Active

Practice location

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Call (954) 229-7908 Map

Mailing address

1648 Curry Dr
Lyndhurst, OH 44124-2762

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X1863 (FL)
Physical Therapy Assistant Primary 225200000X007468 (OH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1164634192

Theodore William Gannon, L. AC.'s National Provider Identifier is 1164634192, issued on May 3, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 17, 2023.