Mr. Russell D Gannon, MSPT
Mr. Russell D Gannon, MSPT is an Orthopedic Physical Therapist in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2006.
- Licensed in
- AL
- In the registry since
- 2006
Practice location Address checks out
616 Gadsden Hwy Ste ABirmingham, AL 35235-2501
Phone: (205) 833-0881
Fax: (205) 833-1190
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Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence PTH3502 (AL) |
|---|
Record details
| NPI number | 1376643882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPT |
| Sole proprietor | No |
| NPI enumerated | September 24, 2006 |
| Last updated in NPPES | July 8, 2007 |
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