NPI 1346705803

Timothy Gannon, PTA

Practitioner Physical Therapy Assistant Somerset, NJ

Practice location

Address: 380 Demott Ln, Somerset, NJ 08873-2762
Phone: (800) 571-6511
Mailing address: PO Box 991, Malaga, NJ 08328-0991

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00317700 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 40QB00317700 (NJ)

Other Physical Medicine & Rehabilitation providers in New Jersey →

Registry record

NPI: 1346705803
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2019
Record last updated: 8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.