Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE WILLIAM GANNON, L. AC.
Active Sole ProprietorMR. THEODORE WILLIAM GANNON, L. AC. is a Occupational Therapist healthcare provider located in FORT LAUDERDALE, Florida. NPI 1164634192 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1164634192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.269321356233 yrs)
- Last Updated
- Jan 17, 2023
- Licenses
-
1863 (FL)007468 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4725 N FEDERAL HWYFORT LAUDERDALE, FL, 333084603Browse FL providers · Browse ZIP 33308
- Phone
- 9542297908
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| BRENDA BOSMAN | — | 1457460685 |
| MILTON A BURKE | PT | 1508982851 |
| SUSAN M MURTHA | PT | 1659497527 |
| MRS. LADONNA SUE TUCKER | PTA | 1326260068 |
| MR. JAMES ORNE | — | 1164623021 |
| VERONICA BONO | PTA, LMT | 1053681965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.