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Contact Information

MARIA GANNON
212 LAFAYETTE AVE
STORY CITY, IA50248-1454
 Phone: 515-733-4325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARIA GANNON · (Female)

NPI # 1518523158
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2019
Last updated 05/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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