Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACEY WADE GANN, LPTA
ActiveMR. STACEY WADE GANN, LPTA is a Occupational Therapist healthcare provider located in MOUNTAIN BRK, Alabama. NPI 1568906014 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOUNTAIN BRK, AL
Registration Details
- NPI Number
- 1568906014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2016 (9.6367388296738 yrs)
- Last Updated
- Dec 16, 2016
- License
-
PTA8197 (AL)
Practice Information
- Address
-
201 OFFICE PARK DR STE 150MOUNTAIN BRK, AL, 352232400Browse AL providers · Browse ZIP 35223
- Phone
- 2058796447
- Fax
- 2052782299
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOUNTAIN BRK, AL
| Name | Credential | NPI |
|---|---|---|
| DONNA JOHNSTON | LPTA | 1154400042 |
| SARAH SCOTT MCPHERSON | PTA | 1457234304 |
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.