Tabitha Lyn Ganske, PTA
Tabitha Lyn Ganske, PTA is a Physical Medicine & Rehabilitation Physician in Glen Carbon, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2020.
- Licensed in
- IL, MO
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
27 Auerbach PlGlen Carbon, IL 62034-1596
Phone: (618) 288-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 160.008904 (IL) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 2019027272 (MO) |
Record details
| NPI number | 1164023982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | November 6, 2020 |
| Certification date | November 6, 2020 |
| Mailing address | 106 Echo Valley Dr, Collinsville, IL 62234-1498 |
Other providers in Glen Carbon
-
Dr Mary Mioux-Berry, LLC
3407 S State Route 157 Ste 3, Glen Carbon, IL 62034-1042 · (618) 288-3610